EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE

The article presents the results of clinical studies of the effectiveness of artificial pneumothorax in the treatment of 124 patients with cavernous pulmonary tuberculosis patients and extensively drug resistance. Clinical trials of the use of artificial pneumothorax in young patients with cavernous...

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Autores principales: I. A. Morozov, V. Y. Mishin, O. A. Osadchaya, A. V. Mishina, A. L. Sobkin, D. D. Petrov
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Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2016
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Acceso en línea:https://doaj.org/article/9b8f265f8e84468d9613414342df0631
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spelling oai:doaj.org-article:9b8f265f8e84468d9613414342df06312021-11-23T06:14:36ZEFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE2541-94202587-959610.12737/23748https://doaj.org/article/9b8f265f8e84468d9613414342df06312016-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/325https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents the results of clinical studies of the effectiveness of artificial pneumothorax in the treatment of 124 patients with cavernous pulmonary tuberculosis patients and extensively drug resistance. Clinical trials of the use of artificial pneumothorax in young patients with cavernous pulmonary tuberculosis MDR and XDR MBT have proved its high efficiency and that it can be recommended for widespread clinical use. The indications for the use of artificial pneumothorax is a cavernous pulmonary tuberculosis with the release of MDR and XDR MBT with unformed or formed thin-walled cavity not larger than 4 cm in diameter. Pleuropulmonary adhesions revealed at primary application of artificial pneumothorax are the direct indications fpr surgical burn of adhesions. With the diameter of cavities up to 2 cm the artificial pneumothorax treatment is applied for 6 months and with cavities of 2-4 cm in diameter - for 12 months. Contraindications to the use of artificial pneumothorax are cavities in the lungs more than 4 cm in diameter, massive pleural commissures, with the impossibility of their surgical burnout; specific lesion bronchial tubes and severe comorbidities (mental illness, organic lesions of the central nervous system, chronic obstructive lung disease, chronic cardiovascular diseases in the stage of decompensation, congenital malformations of the heart and lungs, chest wall deformity). Treatment of patients with artificial pneumothorax cavernous pulmonary tuberculosis MDR and XDR pathogen can be recommended for use in stationary phase in TB facilities with thoracic surgery, where the implementation of operational burnout pleural commissures is possible.I. A. MorozovV. Y. MishinO. A. OsadchayaA. V. MishinaA. L. SobkinD. D. PetrovScientific Сentre for Family Health and Human Reproduction Problemsarticlepulmonary tuberculosisdrug-resistant mycobacterium tuberculosisartificial pneumothoraxScienceQRUActa Biomedica Scientifica, Vol 1, Iss 6, Pp 82-87 (2016)
institution DOAJ
collection DOAJ
language RU
topic pulmonary tuberculosis
drug-resistant mycobacterium tuberculosis
artificial pneumothorax
Science
Q
spellingShingle pulmonary tuberculosis
drug-resistant mycobacterium tuberculosis
artificial pneumothorax
Science
Q
I. A. Morozov
V. Y. Mishin
O. A. Osadchaya
A. V. Mishina
A. L. Sobkin
D. D. Petrov
EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE
description The article presents the results of clinical studies of the effectiveness of artificial pneumothorax in the treatment of 124 patients with cavernous pulmonary tuberculosis patients and extensively drug resistance. Clinical trials of the use of artificial pneumothorax in young patients with cavernous pulmonary tuberculosis MDR and XDR MBT have proved its high efficiency and that it can be recommended for widespread clinical use. The indications for the use of artificial pneumothorax is a cavernous pulmonary tuberculosis with the release of MDR and XDR MBT with unformed or formed thin-walled cavity not larger than 4 cm in diameter. Pleuropulmonary adhesions revealed at primary application of artificial pneumothorax are the direct indications fpr surgical burn of adhesions. With the diameter of cavities up to 2 cm the artificial pneumothorax treatment is applied for 6 months and with cavities of 2-4 cm in diameter - for 12 months. Contraindications to the use of artificial pneumothorax are cavities in the lungs more than 4 cm in diameter, massive pleural commissures, with the impossibility of their surgical burnout; specific lesion bronchial tubes and severe comorbidities (mental illness, organic lesions of the central nervous system, chronic obstructive lung disease, chronic cardiovascular diseases in the stage of decompensation, congenital malformations of the heart and lungs, chest wall deformity). Treatment of patients with artificial pneumothorax cavernous pulmonary tuberculosis MDR and XDR pathogen can be recommended for use in stationary phase in TB facilities with thoracic surgery, where the implementation of operational burnout pleural commissures is possible.
format article
author I. A. Morozov
V. Y. Mishin
O. A. Osadchaya
A. V. Mishina
A. L. Sobkin
D. D. Petrov
author_facet I. A. Morozov
V. Y. Mishin
O. A. Osadchaya
A. V. Mishina
A. L. Sobkin
D. D. Petrov
author_sort I. A. Morozov
title EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE
title_short EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE
title_full EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE
title_fullStr EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE
title_full_unstemmed EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCE
title_sort effectiveness of artificial pneumothorax in young patients with cavernous pulmonary tuberculosis multidrug and extensively drug bacterial resistance
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2016
url https://doaj.org/article/9b8f265f8e84468d9613414342df0631
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