The Use of Video-Assisted Lung Volume Reduction Operations in the Bullous Emphysema of the Lungs in Clinical Practice

M. S. Opanasenko, O. V. Tereshkovych, S. M. Shalahai, B. M. Konik, O. D. Shestakova, M. I. Kalenychenko, A. M. Stepaniuk, V. I. Lysenko, L. I. Levanda, M. Yu. Shamrai, I. P. Nechayenko
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Abstract

Abstract. Bullous emphysema of the lungs (BEL) is a chronic pulmonary disease, induced by the weakening of the alveoli walls in the lungs, resulting in abnormally large air spaces (bullae), which are filled with air, even when the patient exhales. Object and research methods. The practical experience of performing video-assisted (VATS) lung volume reduction (LVR) operations in 2 cases with BEL is given. Results and their discussion. After performing the LVR patients had improved breathing, reduced manifestations of respiratory failure and angina pectoris, increased blood gas parameters: an increase in SpO2 from 86 % to 96 %, a decrease in PaCO2 from 47 mmHg up to 40 mmHg. Conclusions. LVR is an effective method of treatment of BEL, in the presence of isolated bulls, this operation causes a significant reduction in respiratory failure, especially in patients with bronchial asthma and coronary artery disease.
电视辅助肺减容术在肺大疱性肺气肿中的临床应用
摘要肺大疱性肺气肿(BEL)是一种慢性肺部疾病,由肺部肺泡壁的削弱引起,导致异常大的空气空间(大泡),即使在患者呼气时也充满空气。研究对象和研究方法。本文介绍了视频辅助肺减容术(VATS)治疗2例BEL的实践经验。结果和讨论。实施LVR后,患者呼吸改善,呼吸衰竭和心绞痛症状减少,血气参数增加:SpO2从86%增加到96%,PaCO2从47 mmHg下降到40 mmHg。结论。LVR是治疗BEL的有效方法,在孤立公牛存在的情况下,该手术可显著减少呼吸衰竭,特别是支气管哮喘和冠状动脉疾病患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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