Temporary Bronchial Occlusion in Fistulous Forms of Bacterial Lung Destruction in Children
Journal Title: Progressing Aspects in Pediatrics and Neonatology - Year 2017, Vol 1, Issue 1
Abstract
Despite the improvement of methods for diagnosis and treatment of bacterial lung destruction (BDL) in children, there are many cases of complicated fistula development. Bronchopleural fistulas in children mostly develops due to breakthrough into the pleural cavity of the lung abscesses communicating with the bronchus [1,2]. One of the main factors conditioning pulmonary collapse and its non-expansion, even with drainage of the pleural cavity, is the functioning of peripheral Bronchopleural fistulas (BPF) and the absence of a bronchial system due to this tightness. Principles of treatment of patients with Bronchopleural fistulas derive from an understanding of the cause of fistula development, the mechanisms of development of respiratory failure and disruption of homeostasis. The main reasons for the development of respiratory failure in Bronchopleural fistulas is the development of the lung leakage syndrome, which in turn inhibits the spreading of the lung [3,4]. Methods of surgical treatment of pleural empyema aimed at evacuation of purulent contents from the pleural cavity and foci of lung destruction can be divided into 2 types: “open” - with the use of thoracotomy and “closure” or methods of minimally invasive surgery [5-7]. The latter include temporary bronchial occlusion under the video-control (VATS). Temporary bronchial occlusion is an artificial disconnection of the pathological Bronchopleural communication that occurs when purulent lung destruction is complicated by pyopneumothorax.
Authors and Affiliations
Chuliev MS, Uglonov IM, Narbaev TT, Xotamov XN, Pulatov FT, Barotov FT, Nasirov MM
Keywords
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- EP ID EP575549
- DOI 10.32474/PAPN.2018.01.000105
- Views 33
- Downloads 0
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