SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA
An analysis of results of examination and treatment of 8 young patients (from 25 to 17 years of age) with generalized emphysema of the lungs, pulmonary failure of the II and III degrees was made. The functional examination of the patients before operation has revealed changed respiration by obstruct...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2018-01-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/783 |
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| author | S. D. Gorbunkov S. M. Cherny A. L. Akopov V. V. Varlamov O. V. Lukina L. D. Kiryukhina A. S. Agishev T. Ye. Gembitskaya |
| author_facet | S. D. Gorbunkov S. M. Cherny A. L. Akopov V. V. Varlamov O. V. Lukina L. D. Kiryukhina A. S. Agishev T. Ye. Gembitskaya |
| author_sort | S. D. Gorbunkov |
| collection | DOAJ |
| description | An analysis of results of examination and treatment of 8 young patients (from 25 to 17 years of age) with generalized emphysema of the lungs, pulmonary failure of the II and III degrees was made. The functional examination of the patients before operation has revealed changed respiration by obstructive type. Symptoms of dysplasia of the connective tissue were found in 4 patients. Surgical reduction of the lung volume was performed in 5 patients for correction of respiratory failure. There were neither serious complications nor lethality. Dyspnea by MMRC scale decreased in all the patients at minimum by 1 point during the first months after operation. Three years later 4 out of the operated patients (80%) had retained positive effect of operation. In patients who had no operative treatment the frequency of infectious complications, level of dyspnea during three years of follow-up remained at the same level, while functional indices continued worsening. The surgical method of treatment of severe respiratory failure allowed tolerance of physical exercise to be increased and quality of life of patients with diffuse lung emphysema to be improved. |
| format | Article |
| id | doaj-art-bccb66e74fbd44658084e2b45c25f54f |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2018-01-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-bccb66e74fbd44658084e2b45c25f54f2025-08-20T04:00:34ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-01171602703110.24884/0042-4625-2012-171-6-027-031782SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMAS. D. Gorbunkov0S. M. Cherny1A. L. Akopov2V. V. Varlamov3O. V. Lukina4L. D. Kiryukhina5A. S. Agishev6T. Ye. Gembitskaya7ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»ГОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова»An analysis of results of examination and treatment of 8 young patients (from 25 to 17 years of age) with generalized emphysema of the lungs, pulmonary failure of the II and III degrees was made. The functional examination of the patients before operation has revealed changed respiration by obstructive type. Symptoms of dysplasia of the connective tissue were found in 4 patients. Surgical reduction of the lung volume was performed in 5 patients for correction of respiratory failure. There were neither serious complications nor lethality. Dyspnea by MMRC scale decreased in all the patients at minimum by 1 point during the first months after operation. Three years later 4 out of the operated patients (80%) had retained positive effect of operation. In patients who had no operative treatment the frequency of infectious complications, level of dyspnea during three years of follow-up remained at the same level, while functional indices continued worsening. The surgical method of treatment of severe respiratory failure allowed tolerance of physical exercise to be increased and quality of life of patients with diffuse lung emphysema to be improved.https://www.vestnik-grekova.ru/jour/article/view/783эмфиземахирургическая редукция объема лёгкихдисплазия лёгких |
| spellingShingle | S. D. Gorbunkov S. M. Cherny A. L. Akopov V. V. Varlamov O. V. Lukina L. D. Kiryukhina A. S. Agishev T. Ye. Gembitskaya SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA Вестник хирургии имени И.И. Грекова эмфизема хирургическая редукция объема лёгких дисплазия лёгких |
| title | SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA |
| title_full | SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA |
| title_fullStr | SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA |
| title_full_unstemmed | SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA |
| title_short | SURGICAL TREATMENT OF RESPIRATORY FAILURE IN YOUNG PATIENTS WITH DIFFUSE LUNG EMPHYSEMA |
| title_sort | surgical treatment of respiratory failure in young patients with diffuse lung emphysema |
| topic | эмфизема хирургическая редукция объема лёгких дисплазия лёгких |
| url | https://www.vestnik-grekova.ru/jour/article/view/783 |
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