Assessment of function of external breath and bronchoscopic picture in patients with calculous cholecystitis and features of their dynamics in the postoperative period


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Abstract

Assessed the function of external breath and state value of the tracheobronchial tree in 50 patients with cholelithiasis
on the basis of the results of spirometry and bronchoscopy. Researches were performed before and 3-5 days
after cholecystectomy performed by mini - invasive techniques. Infringements of function of external breath were detected
before operation in 42 (84, 0 %) patients, thus prevailed restrictive disorders - 97, 6 %. Changes in the tracheobronchial
tree were found in 39 (78.0%) patients. In the early postoperative period observed negative dynamics of parameters of
function of external breath and bronchoscopic picture. The specified changes were characterized by an increase of frequency
of revealing "active" endobronchitis from 66, 0 % to 86, 5 % (р=0, 05) and increase of obstructive disorders of function of
external breath from 52, 0 % to 74, 0 % (р=0, 04) which development is not caused by a painful syndrome and restriction of
diaphragm mobility

About the authors

Медсанчасть №9 им. М.А.Тверье, г. Пермь Пермская государственная медицинская академия им. академика Е.А.Вагнера

Author for correspondence.
Email: author@vestnik-surgery.com

д.м.н., зам.
главного врача по хирургии Медсанчасти №9 им.
М.А.Тверье, проф. кафедры общей хирургии Перм-ской государственной медицинской академии им.
академика Е.А. Вагнера; e-mail: nzubareva07@mail.
ru

Медсанчасть №9 им. М.А.Тверье, г. Пермь Пермская государственная медицинская академия им. академика Е.А.Вагнера

Email: author@vestnik-surgery.com

врач-хирург,
заочный аспирант кафедры общей хирургии Перм-ской государственной медицинской академии им.
академика Е.А. Вагнера; e-mail:volkost@yandex.ru

Медсанчасть №9 им. М.А.Тверье, г. Пермь Пермская государственная медицинская академия им. академика Е.А.Вагнера

Email: author@vestnik-surgery.com

д.м.н., проф., зав.
кафедрой внутренних болезней педиатрического
и стоматологического факультета Пермской госу-дарственной медицинской академии им. академика
Е.А.Вагнера; e-mail:natasha@perm.raid.ru

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