METHOD FOR TREATING RESTRICTED PLEURAL EMPYEMA AT BRONCHOPLEURAL COMMUNICATION

摘要

FIELD: medicine, purulent and thoracic surgery.;SUBSTANCE: it is necessary to carry out draining and sanitation of restricted pleural empyema in a patient. Then the drainage should be substituted with a balloon catheter into the balloon of which under roentgenocontrol one should introduce isotonic NaCl solution with water-soluble contrast till complete filling the empyemic cavity and, correspondingly, occlusion of fistula-carrying bronchus. Filled up catheter should be kept for 7 d and then under roentgenocontrol gradually for 14-21 d one should remove the introduced solution. Te quantity of simultaneously removed solution should be determined according to the presence or absence of air drop out of empyemic cavity. After cavitary reduction the catheter should be removed. The innovation enables to provide reduction of pleural empyemic cavity along with occlusion of bronchopleural fistula and, also, prevent aerogenic contamination, stimulate granulation and subsequent cicatrisation of cavitary walls due to the pressure of balloon catheter upon them being filled by the cavitary volume.;EFFECT: higher efficiency of therapy.;3 dwg, 1 ex