Diagnosis and treatment of acute lung destructions

Abstract

The impotence and results of different programs for treatment of acute necrotic-purulent lung destructions were studied. The bacteriological analysis of abscess’s punctures revealed nonsporeforming anaerobic organisms in 100% of all cases (54 patients). Diagnostic criteria determining clinical forms and courses of diseases w ere elaborated. The effective methods of bronchial drainage and substitution therapy were suggested for each form of lung destructions. In case of giant cavities (20 patients) organ-preserving operations were worked out instead of lung resections. Secondary bronchiectasis may precede lung purulent destructions and that fact must be taken into account when determining the volume of resection. The suggested methods of diagnosis and treatment of lung destructions allow to decrease the mortality (6.7%) and chronisation of diseases (3.8%).