[The diagnosis and treatment of acute pulmonary circulatory disorders after resection for tuberculosis].
The authors analyzed postoperative complications after 4174 pulmonectomies for tuberculosis in the period of 1982-2004. The verified cases of acute venous circulatory disorders in the remnants of the lung after partial resections were observed in 12 (0.3%) patients. The main causes of hemorrhagic infarct of the part of the lung were erroneous ligation of the vein or its rupture; thrombosis of the venous trunk; partial removal of a pulmonary portion with devascularized tissue left; extensive intrapulmonary hematomas. In case of acute circulatory disorder developed in the resected lung, mortality may amount to as high as 58% due to secondary complications (sepsis in the presence of generalized gangrene and lung tissue decay, purulent pleurisy with bronchopleurothoracic fistulas, arrosion profuse hemorrhage). The above complication is a rare, but extremely severe iatrogenic abnormality largely associated with shortcomings of surgical techniques.
Kobak
M E
ME
Kirillov
Iu V
IuV
Basek
T S
TS
Popova
E A
EA
Pesikin
K N
KN
D000328:Adult; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008168:Lung / Q000098:blood supply* / Q000503:physiopathology*; D008297:Male; D009169:Mycobacterium tuberculosis; D011183:Postoperative Complications; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery*; D014689:Venous Insufficiency / Q000209:etiology* / Q000503:physiopathology*