[Diagnosis and treatment of lung injuries].
Overall 1218 patients with lung injuries were treated during 11 years. The rate of deep wounds and injuries of central zone and root of lung was 24.9%. Endoscopic and x-ray methods (especially computed tomography) were used for diagnosis. Surgical tactics depended on type of injury. Resection of lung and pneumonectomy were performed at 10.2% patients, closure of lung wound--at 41.3%. Surgical treatment of lung wound with dissection and revision of wound canal was performed at 42.6% patients with deep injuries. Classified surgical tactics permits to reduce the rate of postoperative pulmonary complications from 62 to 11.6%, and lethality--from 11.2 to 3.1%.
Nikolaeva
E B
EB
Abakumov
M M
MM
Pogodina
A N
AN
D000328:Adult; D001999:Bronchoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D055370:Lung Injury; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D013898:Thoracic Injuries / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000175:diagnosis* / Q000601:surgery; D014951:Wounds, Stab / Q000175:diagnosis* / Q000601:surgery