Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko33210.18499/2070-478X-2009-2-2-108-115Original articlesОригинальные статьиUnknownBasic mechanisms of development of postoperative empyema pleura and the ways of its preventionОсновные механизмы развития острой послеоперационной эмпиемы плевры и пути их профилактикиИсмаиловД.А.

доктор медицинских наук, руководитель отделения хирургии легких и средостения.

pahomovgl@mail.ruПахомовГ.Л.

кандидат медицинских наук, доцент кафедры факультетской и госпитальной хирургии Ташкентской медицинской академии.

pahomovgl@mail.ruХаялиевР.Я.

кандидат медицинских наук, ассистент кафедры факультетской и госпитальной хирургии Ташкентской медицинской академии.

rustemmed@rambler.ruИрисовО.Т.

кандидат медицинских наук, ординатор отделения хирургии легких и средостения.

irisov73@mail.ruMaдияровБ.Т.

младший научный сотрудник Ташкентской медицинской академии.

baxa_bum@mail.ruРеспубликанский специализированный центр хирургии им. акад. В.Вахидова, Узбекистан24062009221081153004201630042016Copyright ©; 2009, ., ., ., ., .Copyright ©; 2009, Исмаилов Д., Пахомов Г., Хаялиев Р., Ирисов О., Maдияров Б.2009., ., ., ., .Исмаилов Д., Пахомов Г., Хаялиев Р., Ирисов О., Maдияров Б.http://creativecommons.org/licenses/by-nc-nd/4.0https://vestnik-surgery.com/journal/article/view/332

Оn the basis of the analysis of references, classification of possible postoperative complications, frequency of their occurrence are presented, anesthesiology risks are discussed at thoracal operations, the emphasis is placed on the analysis of mechanisms of development, variants of preventive maintenance and treatment of a postoperative empyema of a pleura. Authors present own experience conducting patients with the pleura empyema, based on 1118 thoracal the operations spent with 2003 for 2007 in unit of surgery of lungs and mediastinum RSCS by acad. V.Vahidova. Analyzed results of complex treatment of 59 patients with an acute postoperative empyema of a pleura, are disassembled the errors which have led to its development, variants of medical tactics and results of treatment are specified.

На основании анализа литературных источников представлена классификация возможных послеоперационных осложнений, частота их встречаемости, обсуждены анестезиологические риски при торакальных операциях, сделан акцент на анализе механизмов развития, вариантах профилактики и лечения послеоперационной эмпиемы плевры. Авторами представлен собственный опыт ведения больных с эмпиемой плевры, основанный на 1118 торакальных операциях, проведенных с 2003 по 2007 годы в отделении хирургии легких и средостения РСЦХ им. акад. В.Вахидова. Анализированы результаты комплексного лечения 59 больных с острой послеоперационной эмпиемой плевры, разо- браны ошибки, приведшие к ее развитию, указаны варианты лечебной тактики и результаты лечения.

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