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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| Format: | Article |
| Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2016-11-01
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| Series: | Acta Biomedica Scientifica |
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| Online Access: | https://www.actabiomedica.ru/jour/article/view/325 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-08T12:19:06Z |
| format | Article |
| id | doaj.art-9b8f265f8e84468d9613414342df0631 |
| institution | Directory Open Access Journal |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| last_indexed | 2024-04-24T17:19:29Z |
| publishDate | 2016-11-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj.art-9b8f265f8e84468d9613414342df06312024-03-28T07:49:16ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962016-11-0116828710.12737/23748325EFFECTIVENESS OF ARTIFICIAL PNEUMOTHORAX IN YOUNG PATIENTS WITH CAVERNOUS PULMONARY TUBERCULOSIS MULTIDRUG AND EXTENSIVELY DRUG BACTERIAL RESISTANCEI. A. Morozov0V. Y. Mishin1O. A. Osadchaya2A. V. Mishina3A. L. Sobkin4D. D. Petrov5ГБОУ ВПО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»; ГКУЗ «Туберкулёзная клиническая больница № 3 им. проф. Г.А. Захарьина Департамента здравоохранения г. Москвы»ГБОУ ВПО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»; ГКУЗ «Туберкулёзная клиническая больница № 3 им. проф. Г.А. Захарьина Департамента здравоохранения г. Москвы»ГКУЗ «Туберкулёзная клиническая больница № 3 им. проф. Г.А. Захарьина Департамента здравоохранения г. Москвы»ГБОУ ВПО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»ГКУЗ «Туберкулёзная клиническая больница № 3 им. проф. Г.А. Захарьина Департамента здравоохранения г. Москвы»ГБОУ ВПО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»; ГКУЗ «Туберкулёзная клиническая больница № 3 им. проф. Г.А. Захарьина Департамента здравоохранения г. Москвы»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.https://www.actabiomedica.ru/jour/article/view/325pulmonary tuberculosisdrug-resistant mycobacterium tuberculosisartificial pneumothorax |
| spellingShingle | 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 Acta Biomedica Scientifica pulmonary tuberculosis drug-resistant mycobacterium tuberculosis artificial pneumothorax |
| title | 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_short | 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 |
| topic | pulmonary tuberculosis drug-resistant mycobacterium tuberculosis artificial pneumothorax |
| url | https://www.actabiomedica.ru/jour/article/view/325 |
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