Treatment methods of the pleuropulmonary complications of covid-associated pneumonia
- Authors: Telyashov A.D.1, Gallyamov E.A.2, Khrupkin V.I.2, Busyrev Y.B.1, Kudryavtseva O.A.3, Diduev G.I.1, Malofei A.M.1, Khrupkin I.V.4
-
Affiliations:
- The I.V.Davydovsky City Clinical Hospital of the Moscow Department of Health
- I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
- Branch of the the S.M.Kirov Military Medical Academy
- Medical Institute of Continuing Education, Moscow State University of Food Production
- Issue: Vol 342, No 10 (2021)
- Pages: 37-43
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/628767
- ID: 628767
Cite item
Abstract
The analysis of the use of endoscopic methods of surgical treatment of patients with purulent-destructive lesions of the lungs and pleura against the background and after covid-associated pneumonia is presented. The experience of treating 61 patients with various forms of purulent-destructive complications of viral (COVID-19) pneumonia was analyzed. Particular attention is paid to the use of videothoracoscopy at the early stages of the onset of postcoid pleuropulmonary complications. Surgical tactics using minimally invasive videothoracoscopic methods of treatment allows to achieve earlier cleansing and sanitation of the pleural and intrapulmonary cavities, which, accordingly, leads to an earlier and successful restoration of the patient’s health and a reduction in the patient’s stay in the hospital.
About the authors
A. D. Telyashov
The I.V.Davydovsky City Clinical Hospital of the Moscow Department of Health
Author for correspondence.
Email: telyashov68@mail.ru
кандидат медицинских наук, подполковник медицинской службы запаса
Russian Federation, MoscowE. A. Gallyamov
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Email: telyashov68@mail.ru
доктор медицинских наук
Russian Federation, MoscowV. I. Khrupkin
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Email: telyashov68@mail.ru
заслуженный врач РФ, профессор, полковник медицинской службы в отставке
Russian Federation, MoscowYu. B. Busyrev
The I.V.Davydovsky City Clinical Hospital of the Moscow Department of Health
Email: telyashov68@mail.ru
кандидат медицинских наук
Russian Federation, MoscowO. A. Kudryavtseva
Branch of the the S.M.Kirov Military Medical Academy
Email: telyashov68@mail.ru
Russian Federation, Moscow
G. I. Diduev
The I.V.Davydovsky City Clinical Hospital of the Moscow Department of Health
Email: telyashov68@mail.ru
Russian Federation, Moscow
A. M. Malofei
The I.V.Davydovsky City Clinical Hospital of the Moscow Department of Health
Email: telyashov68@mail.ru
Russian Federation, Moscow
I. V. Khrupkin
Medical Institute of Continuing Education, Moscow State University of Food Production
Email: telyashov68@mail.ru
Russian Federation, Moscow
References
- Гостищев В.К. Инфекции в торакальной хирургии: Руководство для врачей. – М.: ГЭОТАР-Медиа. – 2004. – 583 с.
- Забозлаев Ф.Г., Кравченко Э.В., Галлямова А.Р. Патологическая анатомия лёгких при новой коронавирусной инфекции (COVID-19). Предварительный анализ аутопсийных исследований // Клин. практика. – 2020. – Т. 11, № 2. – C. 21–37.
- Зайратьянц О.В., Малявин А.Г., Самсонова М.В. и др. Патоморфологические изменения в легких при COVID-19: клинические и терапевтические параллели // Терапия. – 2020. – Т. 6, № 5. – C. 35–46.
- Зайратьянц О.В., Cамсонова М.В., Михалева Л.М. и др. Патологическая анатомия COVID-19: Атлас / Под общ. ред. О.В.Зайратьянца. – М., 2020. – 116 с.
- Зайцев А.А., Оковитый С.В., Крюков Е.В. Кашель: Практическое пособие для врачей / Главный военный клинический госпиталь имени Н.Н.Бурденко. – М., 2015. – 59 с.
- Кабанов М.Ю., Крюков Н.А., Биниенко М.А. и др. Лечение послеоперационного переднего медиастинита, остеомиелита грудины, у пациентки с новой коронавирусной инфекцией (COVID-19) // Хирургия. – Журнал им. Н.И.Пирогова. – 2021. – № 4. – C. 53–57.
- Котив Б.Н., Баринов О.В., Башилов Н.И. Роль ученых военно-медицинской академии им. С.М.Кирова в исследовании проблемы гнойно-деструктивных заболеваний легких и плевры // Вестн. Рос. воен.-мед. акад. – 2015. – № 1 (49). – С. 189–193.
- Тришкин Д.В., Крюков Е.В., Чернецов В.А., Чернов С.А. Использование антиковидной плазмы от здоровых привитых людей в лечении пациентов с тяжелой коронавирусной инфекцией // Воен.-мед. журн. – 2021. – Т. 342, № 2. – С. 66–68.
- Тюрин И.Е., Струтынская А.Д. Визуализация изменений в легких при коронавирусной инфекции (обзор литературы и собственные данные) // Пульмонология. – 2020. – Т. 30, № 5. – С. 658–670.
- Цеймах Е.А., Левин А.В., Шойхет Я.Н. и др. Применение эндобронхиального клапана в комплексном лечении спонтанного пневмоторакса // Пульмонология. – 2009. – № 6. – С. 118–122.
- Guo T., Fan Y., Chen M. et al. Cardiovascular implication of fatal outcomes of patients with Coronavirus Disease 2019 (COVID-19) // JAMA Cardiol. – 2020. – Vol. 5, N 7. – P. 811–818.
- Hassan A., Patel K., Greenwood D. et al. Long-term clinical outcomes in survivors of severe acute respiratory syndrome coronavirus outbreaks after hospitalization or ICU admission: A systematic review and meta-analysis // J. Rehabil. Med. – 2020. – Vol. 52, N 5. – P. 1–11.
- Pandey P., Agarwal S., Rajkumar. Lung Pathology in COVID-19: A Systematic Review // Int. J. Appl. Basic Med. Res. – 2020. – Vol. 10, N 2. – P. 226–233.
- Singhal T.A. Review of Coronavirus Disease-2019 (COVID-19) // Indian J. Pediatr. – 2020. – Vol. 87, N 4. – Art. 10223. – P. 1–6.
- Wu F., Zhao S., Yu B. et al. A new coronavirus associated with human respiratory disease in China // Nature. – 2020. – Vol. 579, N 7798. – P. 265–269.
- Zhonghua Liu Xing Bing Xue Za Zhi. Epidemiology Working Group for NCIP Epidemic Response, Chinese Center for Disease Control and Prevention. The epidemiological characteristics of an outbreak of 2019 novel Coronavirus Diseases (COVID-19) in China // 2020. – Vol. 41, N 2. – P. 145–151.
- Zhou F., Yu T., Du R. et al. Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: a retrospective cohort study // Lancet. – 2020. – Vol. 395, N 10229. – P. 1054–1062.