Respiratory therapy in preventive maintenance of insufficiency of bronchial stump in the patients after pneumonectomy

The analysis of results of complex examining and treatment of 684 patients, of which 575 (84,1%) patients underwent pneumonectomy (PE) concerning oncological pathology or purulent lung diseases, and 109 (15,9%) patients operated concerning with bronchial fistulas after PE, was given in the article. The analysis of influence of the various factors on frequency of development bronchial stump insufficiency (BSI) was carried out. In 207 (53,1%) patients is revealed accompanying COPD, on which background after PE in 36 (17,4%) patients is marked development (BSI). In turn among 183 (46,9%) patients without accompanying COPD this complication was marked only in 2,7% of cases, that is, the presence COPD raised risk of development (BSI) more than in 6 times. The introduction of nebulized therapy has allowed in the basic group to lower risk of an aggravation COPD to 16,1% after PE on the left side and 17,2% after PE on the right, thus the frequency of development (BSI) on a background accompanying COPD has decreased up to 3,2% and 6,9%, accordingly.

pneumonectomy, bronchial stump insufficiency