[The application of a temporary occlusion of the bronchi to restore their hermetic state following resection of the lung].
A temporary occlusion of the bronchi to restore their tightness in the postoperative period was carried out in 106 persons aged 18-65 years. The indications of occlusion were determined on the basis of the air outflow volume along the pleural drainage, subcutaneous emphysema presence and residual pleural cavity dimensions. In 90 patients, a temporary bronchial occlusion lasting for 2-4 days was performed 1-2 days after the operation. In 16 other patients, it was done on postoperative days 10-15 (with an occlusion period of 15-30 days and the obturator being replaced every 5-7 days). Due to the occlusion, the desired effect was achieved in 77 patients by completely restoring lung suture tightness and eliminating residual pleural cavity. A partial effect was produced in 18 subjects which manifested as a 2-3-fold reduction in the residual pleural cavity dimensions as compared to the initial one. In 11 persons, the occlusion happened to be ineffective.
Sheĭkin
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D000328:Adult; D001980:Bronchi / Q000502:physiology*; D003250:Constriction; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000503:physiopathology / Q000601:surgery
Primenenie vremennoĭ okkliuzii bronkhov dlia vosstanovleniia ikh germetichnosti posle rezektsii legkogo.