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Clinical case of cure of the patient suffering from destructive disseminated pulmonary tuberculosis with the use of valve bronchial block

https://doi.org/10.21292/2075-1230-2016-94-5-74-78

Abstract

Materials and methods: presentation of the clinical case (1 patient) cured from disseminated tuberculosis with multiple cavities in the upper lobes of both lungs. Along with anti-tuberculosis chemotherapy two endobronchial valves were consecutively applied (proximal bronchus of the left and right bronchi), which were kept for the continuous period of time (more than 1 year) simultaneously in both bronchi.

Result: The following was achieved: cessation of bacillary excretion, healing of all cavities, including big ones, resolution and concretion of dissemination foci, restoration of working ability. 

About the Authors

M. S. Zhdakaev
TB Clinical Dispensary of Phthisiopulmonology
Russian Federation

Candidate of Medical Sciences, Head of Endoscopy Department, Endoscopist,

160, Kosmonavtov Highway, Perm – GSP, 614990



O. V. Lovacheva
Central Tuberculosis Research Institute
Russian Federation

Central Tuberculosis Research Institute, Doctor of Medical Sciences, Professor, Head of Endoscopy Department,

2, Yauzskaya Alleya, Moscow, 107564



I. V. Perminova
TB Clinical Dispensary of Phthisiopulmonology
Russian Federation

Candidate of Medical Sciences, Head of Adjuvant Therapy Department, Physiotherapist,

160, Kosmonavtov Highway, Perm – GSP, 614990



V. V. Reykhardt
TB Clinical Dispensary of Phthisiopulmonology
Russian Federation

Chief Doctor, Honored Doctor of Russia,

160, Kosmonavtov Highway, Perm – GSP, 614990



References

1. Elipashev А.А., Nikolskiy V.O., Shprykov А.S., Elkin А.V. Analysis of complications and relapses of surgical treatment of the patients with limited pulmonary lesions and morphological activity of specific inflammation. Tub., 2015, no. 10, pp. 20-23. (In Russ.)

2. Levin А.V., Tseymakh E.А., Zimonin P.E. et al. Use of endobronchial valve in the complex treatment of the patients suffering from limited fibrous cavernous pulmonary tuberculosis. Probl. Klin. Meditsiny, 2013, no. 2 (31), pp. 60-64. (In Russ.)

3. Levin А.V., Tseymakh E.A, Samuylenkov А.M. et al. Valve bronchial block in the treatment of disseminated drug resistant pulmonary tuberculosis patients. Probl. Tub., 2007, no. 4, pp. 13-14. (In Russ.)

4. Motus I.Ya., Golubev D.N., Bazhenov А.V. et al. Pulmonary tuberculosis surgery. Tub., 2012, vol. 89, no. 6, pp. 14-20. (In Russ.)

5. Federalnye klinicheskie rekomendatsii po ispolzovaniyu metoda klapannoy bronkhoblokatsii v lechenii tuberkuleza legkikh i ego oslozhneniy. [Federal clinical recommendations on using valve bronchial block in the treatment of pilmonary tuberculosis and its complications]. (Lovacheva O.V., Elkin А.V., Zimonin P.E., Krasnov D.V., Krasnov V.А., Levin А.V., Sklyuev S.V., Skornyakov S.N., Stepanov D.V., Tseymakh E.А., Shumskaya I.Yu.) Izdatelstvo NEW-TERRA Publ., Moscow, 2015, 24 p.


Review

For citations:


Zhdakaev M.S., Lovacheva O.V., Perminova I.V., Reykhardt V.V. Clinical case of cure of the patient suffering from destructive disseminated pulmonary tuberculosis with the use of valve bronchial block. Tuberculosis and Lung Diseases. 2016;94(5):74-78. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-5-74-78

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ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)