Surgical correction of respiratory failure in patients with diffuse pulmonary emphysema who underwent long-term oxygen therapy
https://doi.org/10.24884/0042-4625-2017-176-4-71-74
Abstract
OBJECTIVE. The research showed the possibility of operative treatment of patients with terminal stage of respiratory failure who underwent long-term oxygen therapy. MATERIAL AND METHODS. Surgical correction of respiratory failure was performed for two patients after clinical, functional and radio studies. RESULTS. The degree of arterial hypoxemia significantly decreased after operation due to improved ventilation of maximally saved pulmonary tissue areas. This allowed doctors to apply a situational oxygen therapy. Tolerance of physical activity reliably improved and value of BODE-index decreased. CONCLUSIONS. The terminal stage of respiratory failure couldn’t be a contraindication to surgical treatment.
About the Authors
S. D. Gorbunkov
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
V. V. Varlamov
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
S. M. Chernyi
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
Z. A. Zaripova
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
A. Yu. Gichkin
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
O. V. Lukina
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
L. D. Kiryukhina
St. Petersburg Research Institute of Phthisiopulmonology
Russian Federation
Russian Federation
M. G. Kovalev
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
A. I. Romanikhin
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
A. L. Akopov
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation
Russian Federation
References
1. Горбунков С. Д., Варламов В. В., Гичкин А. Ю., Перлей В. Е., Черный С. М., Романихин А. И., Сыровнев В. А., Агишев А. С., Акопов А. Л. Ультразвуковая оценка состояния диафрагмы у больных, прошедших отбор для хирургической редукции обьёма лёгких // Вестн. хир. 2015. № 5. С. 13-17.
2. Яицкий Н. А., Варламов В. В., Горбунков С. Д., Акопов А. Л., Черный С. М., Лукина О. В., Черменский А. Г., Гембицкая Т. Е. Результаты хирургического лечения генерализованной эмфиземы лёгких // Вестн. хир. 2014. № 5. С. 108-110.
3. Global strategy for the diagnosis, management and prevention of COPD, global initiative for chronic obstructive lung disease (GOLD) // Upd. 2016. P. 123. http: // goldcopd.org.
4. Raemdonck D., van, Niane V. Lung volume reduction for severe emphysema : do we need scalpel or a scope? // Eur. Respir. Rev. 2010. Vol. 117. P. 242-247.
Review
For citations:
Gorbunkov S.D., Varlamov V.V., Chernyi S.M., Zaripova Z.A., Gichkin A.Yu., Lukina O.V., Kiryukhina L.D., Kovalev M.G., Romanikhin A.I., Akopov A.L. Surgical correction of respiratory failure in patients with diffuse pulmonary emphysema who underwent long-term oxygen therapy. Grekov's Bulletin of Surgery. 2017;176(4):71-74. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-4-71-74
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