TREATMENT OF ACUTE PURULENT-DESTRUCTIVE LUNG DISEASES CONSIDERING THE ASSESSMENT OF THE DEGREE OF IMPAIRMENT OF NON-RESPIRATORY LUNG FUNCTION

Abstract

Program of pre-operative preparation was developed based on examination and treatment of patients with acute purulent destructive pulmonary diseases (APDPD) with regard to process phase (Group 1 - septic process flow, Group 2 - stabilization, Group 3 - remission), endotoxemia severity, and non-respiratory function of lungs (NRFL). Group I patients under basic long-term intra-arterial catheter-based therapy (LIACT) followed our developed NRFL correction scheme and treated sup- purative focuses with electrolyzed sodium hypochlorite solution. It has proven to be efficient for 202 (79,9%) out 254 Group 1 patients, enabling withdrawal from surgery, while only 52 (40.6%) of Group 2 patients and 26 (31.3%) of Group 3 patients have not undergone surgery. Simultaneously, clear NRFL malfunction degree correction augmenting impact was achieved accompanied by limiting and stabilizing the process. It has enabled to limit lung resection numbers to 109 (60.9%) out of 179 Group 1 patients who undergone surgery with 8,7% of surgical complications comparing to 18.4% for Group 2 and 24,6% for Group 3, emphasizing the efficiency of the pre-operative preparation strategy we proposed.