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METHOD FOR DETERMINING INDICATIONS TO APPLYING THORACOSCOPIC TREATMENT OF CHILDREN SUFFERING FROM PLEURAL EMPYEMA

机译:确定适用胸膜肺脓肿患儿经胸腔镜治疗的适应症的方法

摘要

FIELD: medicine. SUBSTANCE: method involves performing computer tomography examination first in horizontal position and the in lateral position. Exudate redistribution relative to the pleural cavity is described. Fixed fibrin fragments, pleuropulmonary commissures and exudate density is measured before and after changing patient body position. Accumulated fibrin with density of 30-40 units fixed on the lung and pleura being detected, surgical intervention is considered to be indicated. Unconstrained movement of the fluid in the pleural cavity, lack of fixed fragments of high density in the pleural cavity, the contents density being within the limits of 10-15 units, pleural puncture and conservative therapy are considered to be indicated. EFFECT: enhanced accuracy of the method.
机译:领域:医学。实质:该方法涉及首先在水平位置和横向位置执行计算机断层扫描检查。描述了相对于胸膜腔的渗出液再分布。在改变患者身体位置之前和之后,测量固定的纤维蛋白碎片,胸膜连合和渗出液密度。可以检测到固定在肺和胸膜上的密度为30-40单位的累积纤维蛋白,应考虑手术治疗。胸膜腔内液体不受限制的运动,胸膜腔内缺乏固定的高密度碎片,内含物密度在10-15个单位的范围内,胸膜穿刺和保守治疗被认为是适应症。效果:提高了方法的准确性。

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