method for treating pleural effusion of tuberculous origin

摘要

A method for treating pleural effusion of tuberculous origin, wherein the preoperative diagnostic pneumothorax application is made with the subsequent spiral computed tomography. The autopsy soft tissue is made with the length to in depth to the parietal pleura and finger penetration in the free area in pleural cavity with partial separation of pleural connections. The first toracoport is introduced with a camera and permanent image video fixation. The location of the second and third toracoports insertions is determined under palpation and visual control. The diaphragmolysis is performed, linear parietal pleuroectomy is made below the apical zone followed by microbiological analysis. The mediastynodiaphragmal pleural surface is purified of fibrinous layers. The sanitation of pleural cavity with antiseptic solution is used and under visual control is drained by "Blake" drainage and interlobar intervals, respectively, with microirrigator. At the end of the operation and daily intrapleural administration are performed with 10.0 ml of 0.2% solution of local ropivacaine anesthetic and 10.0 ml of combined antibacterial hixoside drug. Immediately after the operation drainage and microirrigator are connected to active aspiration.