RESUMEN
Our experience is based on 147 patients with thoracic echinococcosis (TE) who underwent surgery. Of these, 131 (89.1%) patients had pulmonary TE, 3 (2.1%) had extra-pulmonary TE, and 13 (8.8%) had pulmohepatic TE Ninety-nine (67.3%) patients had uncomplicated TE, and 48 (32.7%) had complicated TE. All patients underwent surgery. In 129 (87.8%) patients, we performed cystectomy with capitonage and in 18 (12.2%) cases we performed a lung resection (lobectomy or segmentectomy). Postoperative complications occurred in 2 (1.4%) patients, and recurrence in 2 (1.4%) patients who previously had complicated TE. On admission, there was no evidence of allergic reactions in patients with complicated TE. The average time of postoperative treatment was 13 days. The results of surgical treatment were excellent. The conclusion reached is that a cystectomy with capitonage is the treatment of choice for pulmonary echinococcosis, while lung resection may be necessary if lung tissue has been destroyed by prolonged compression or infection.
Asunto(s)
Equinococosis/cirugía , Enfermedades Torácicas/cirugía , Adolescente , Adulto , Anciano , Niño , Equinococosis Pulmonar/cirugía , Femenino , Estudios de Seguimiento , Hemorragia/etiología , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Recurrencia , Reoperación , Enfermedades Torácicas/parasitologíaAsunto(s)
Hemorragia/cirugía , Enfermedades del Mediastino/cirugía , Enfisema Mediastínico/cirugía , Derrame Pericárdico/cirugía , Traumatismos Torácicos/complicaciones , Adulto , Humanos , Masculino , Enfermedades del Mediastino/etiología , Enfisema Mediastínico/etiología , Métodos , Derrame Pericárdico/etiología , SíndromeRESUMEN
Injuries of the chest isolated or joined with injuries of other organs are distinctly increasing. There are almost no polytraumatic people without thorax injuries. Traffic traumas have a dominant role in causing these injuries. We had most injuries in sammer months. The isolated chest injurie we had 60% and the accompanying injurie 40%. Of the accompanying injuries, the head injurie have the most autstanding place, which especially make difficult the diagnostics, and curing. In heavy injuries of the thorax with paradoxical breathing and on both sides of the leasions, establishing the internal pneumatic stabilisation at the beginning by pulmomatic and then ostheosyntesis of ribs are the most effective therapy. In order to prevent the infections, atracheobronchial dressing with antibiotics is performed as well as the regular X-ray check. As a general rule than 200 ml. per 3 hour requires operative control of the hemorrhage. We had 5,6% thoracothomy after continuous drainage by persstend hemorrhage. The obstructive pneumonia, particularly the eldery are to avoid obstructis, aspiration by catheter with bronchoscopy.