Control of Pulmonary Bleeding in Disseminated Fibrous Cavernous Pulmonary Tuberculosis

Abstract

The objective: to study the efficiency and effectiveness of various non-resection ways of pulmonary bleeding control in patients with disseminated fibrous cavernous pulmonary tuberculosis.Subjects and Methods. A retrospective non-randomized study of complex treatment of 68 patients with fibrous cavernous pulmonary tuberculosis was performed. All the patients received treatment from 2012 to 2020 and the course of their disease was complicated by grade 1 pulmonary bleeding.Results. The patients were divided into three groups depending on the treatment used. Patients in Group 1 (n = 16) underwent upper posterior thoracoplasty with a mesh implant; all patients (100%) had good results: hemostasis was stable, cavities were healed and there were positive changes in the course of tuberculosis. In Group 2 (n = 15) with valve bronchial block, good results were observed in 86.7% of patients. Patients in Group 3 (n = 37) received conservative treatment supplemented with pneumoperitoneum; a good result was noted in 43.2% of patients.

Keywords

• туберкулез легких
• легочное кровотечение
• торакопластика