method for treatment of exsudative pleuritis of various genesis

摘要

A method for treatment of exsudative pleuritis of various genesis comprises the videothorascopy with consequental aspiration of pleural exsudate and crossing of intrapleural commisures under visual control, biopsy of changed areas of pariental and visceral pleura followed by cytohistological examination of preparaed bioptates, parietal pleurectome, across the whole hemithorax, and in apical zone - total, saving the mediastinodiafragmal surface, drainage of pleural cavity for administration of drugs and exsudate aspiration. The linear parietal pleurectomy is made by argon scalpel, and in apical zone total one, mechanical cleaning of mediastinodiafragmal surface is made from fibrous depositions, pleural cavity is drained by Blake drainage. At the end of operation every day interrib blockage is made in the place of drainage location and administration of Naropine topical anesthetic.