Abstract:
The article presents basic information reflecting current issues of pathogenesis
and modern methods of treatment of purulent-destructive lung diseases. The
article is a review of literature data on this issue we have collected over the past
20 years. Nowadays, it became known that a pathogenetic point of view, in all
cases of acute purulent lung destruction is determined by the combination and
interaction of three main factors: 1) acute infectious inflammatory process in the
pulmonary parenchyma; 2) violation of bronchial 36 patency; 3) a violation of
the blood flow leading to necrosis of the lung tissue. Unfortunately, the existing
classification, valuation trends, proposed methods of treatment of acute
suppurative destructive processes in the lung is practically not taken into account
the state of non-respiratory activity of the lungs. In general, the presented
information on modern achievements in the study of pathogenesis, the
development of new methods of surgical treatment of patients with acute
purulent-destructive lung diseases with the use of "small surgery" techniques
showed that many issues related to improving the final results remain unresolved.
Keywords: acute lung abscess, gangrene of lung, etiopathogenesis, prevalence,
diagnostic and treatment method.
Thanks to the organization and improvement of diagnostic methods, new
methods of treatment, surgical technique, significant progress has been made in
treatment of acute purulent-destructive lung diseases (ADDL). However, this
The problem remains relevant today. In recent years, there has been an increase
in the number of patients with severe and complicated forms of the course of
AHDDL [43]. According to studies of various authors [21, 17, 13], the percentage
of development of pulmonary-pleural complications in lung abscesses range from
30% to 70%, and the incidence of gangrenous forms from 28% to 74% [2, 20].
Despite different approaches to the treatment of AHDD, the results of complex
treatment can hardly be considered satisfactory. The mortality rate is still high,
averaging in various forms purulent-necrotic process from 12.7% to 77.8%.
