THORACOSCOPIC SANATION PLEURAL CAVITY WITH PURULENT INFLAMMATORY LUNG DISEASES IN CHILDREN
A. A. Sleptsov , V. A. Savvina , T. E. Erdineev , A. R. Varfolomeev , V. N. Nikolaev , A. L. Zuev , V. V. Kolmogorov
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2015, Vol. 5 ›› Issue (1) : 74 -77.
THORACOSCOPIC SANATION PLEURAL CAVITY WITH PURULENT INFLAMMATORY LUNG DISEASES IN CHILDREN
Experience in treatment of pleural complication of destructive pneumonia in children was submitted. Of the 46 children, admitted with pneumonia complicated by the destructive, in 92% cases were typed pleural complications - 35% in the form of pleural empyema, in 30% fibrinothoracs. Delimited pleural empyema and fibrinothoracs found in children, treated for an average of two weeks in district hospitals. In these cases is made thoracoscopic pnevmoliz with resolution adhesions, opening and readjustment cavities, abscesses, removal of fibrin and subsequent drainage of pleural cavity. All 16 operated patients have a positive result, length of stay decreased by 1,5-2 times: 21 days vs 44-68 days with conservative tactics.
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Sleptsov A.A., Savvina V.A., Erdineev T.E., Varfolomeev A.R., Nikolaev V.N., Zuev A.L., Kolmogorov V.V.
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