USE OF ENDOBRONCHIAL VALVES AND EXTRAPLEURAL SEALING FOR TREATMENT OF BILATERAL MASSIVE CAVITIES IN A FEMALE PATIENT WITH MULTIPLE DRUG RESISTANT PULMONARY TUBERCULOSIS
https://doi.org/10.21292/2075-1230-2017-95-9-60-67
Abstract
The clinical case demonstrates the cure of pulmonary tuberculosis with multiple drug resistance and massive bilateral cavities in a female patient of 31 years old with a severe disorder of pulmonary ventilation of the mixed type, hypoxemic respiratory failure, post-tuberculosis bullous changes in both lungs. Treatment lasted for 4 years. Treatment included anti-tuberculosis chemotherapy, artificial pneumoperitoneum, three endobronchial valves in the bronchi for draining of massive cavities and extrapleural sealing with silicon plug.
About the Authors
O. V. LOVАCHEVА
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Head of Endoscopy Department
2, Yauzskaya Alleya, Moscow, 107564
M. A. BАGIROV
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Head of Surgery Department
2, Yauzskaya Alleya, Moscow, 107564
T. R. BАGDАSАRYAN
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of First Therapy Department
2, Yauzskaya Alleya, Moscow, 107564
E. V. KRАSNIKOVА
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Medical Sciences, Senior Researcher of Surgery Department
2, Yauzskaya Alleya, Moscow, 107564
E. A. SHERGINА
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of Functional Diagnostics Department
2, Yauzskaya Alleya, Moscow, 107564
I. Yu. GRITSАY
Municipal TB Dispensary
Russian Federation
Russian Federation
Municipal TB Dispensary, Phthisiologist. Phone: +7 (812) 726-01-00
12, Zvezdnaya St., St. Petersburg, 196158.
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Review
For citations:
LOVАCHEVА O.V., BАGIROV M.A., BАGDАSАRYAN T.R., KRАSNIKOVА E.V., SHERGINА E.A., GRITSАY I.Yu. USE OF ENDOBRONCHIAL VALVES AND EXTRAPLEURAL SEALING FOR TREATMENT OF BILATERAL MASSIVE CAVITIES IN A FEMALE PATIENT WITH MULTIPLE DRUG RESISTANT PULMONARY TUBERCULOSIS. Tuberculosis and Lung Diseases. 2017;95(9):60-67. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-9-60-67
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