How is the treatment of lung gangrenes? Answer to this question you will find in the article.
Content
How is the treatment of lung gangrenes
Complex intensive therapy, including:
- increasing the resistance of the body;
- fighting infection;
- Impact on the lesion.
Gomeostasis correction is the most important
task with lung gangrene. For this purpose, they carry out intensive
Infusion detoxification (cleansing) of the body. Introduced intravenous (central
Vienna) low molecular weight plasma-substituting solutions (hemodez,
Neocompensen, Reopolyglyukin), 5 and 10% Glucose solutions with insulin,
Inhibitors of proteolysis (conficilla, Trasilol for 10,000-20000 units in
Isotonic sodium chloride solution), water electrolyte mixtures,
Plasma, albumin.
Calculation
The daily need of fluid is produced by the nomograms of Aberdeen,
Gross with additional compensation for loss with vomiting, diarrhea,
exudate, by extracting and taking into account the possibilities of enteral
Nutrition. For desensitization (Reducing to practical disappearance of sensitivity
Animal body, including a person, to the effects of any irritant) The body prescribe Pipolfen, Suprastin
or Dimedrol in age doses, a complex of vitamins (retinol acetate,
Tiamine, pyridoxine, riboflavin, cyanocobalamin, acid ascorbic).
Given the tendency to hypercoagulation (Increased blood clotting), The use of heparin is shown
(intravenously, drip 5000-10000 units per day, under control
Coagulogram). Ensuring adequate respiration is achieved by constant
or periodic appointments of inhalation of hydrated oxygen.
At the same time, the fight against parires interspersed, sanitation
Tracheobronchial trees. With cardiovascular phenomena
Insufficiency prescribed heart.
Important place in
Complex therapy Gangrene lung occupies antibacterial therapy
with not less than 2 broad spectrum antibiotics, in
Maximum age dosages intravenously and intramuscularly.
The most efficient combination of ampicillin with chapecin, gentamicin,
Kefzol or Tetraolean (the latter applies in children over 7 years old).
Correction of antibiotic therapy is carried out by antibioticograms
Sowing sputum and exudate pleural cavity.
Impact on the focus
lesions with the lung gangrene at the beginning of a comprehensive treatment
Provides:
- bronchoscopic rehabilitation by sucking sputum
and administration to the destruction of degradation through draining bronchi concentrated
solutions of wide spectrum antibiotics (zesetin, kanamycin) in the amount
daily age dose;
- Puncture of the pleural cavity with suction
Exudate and washing with nitrofuran solutions (Furacillin 1: 5000, 0.1
Furagin% solution).
This complex intensive therapy may
suspend the process and promote it to deliberate
gangrenoz abscess (abscess with a pulmonary sequestration), which then
treated according to general rules.
With absence
Trends to stabilization of the process arise life testimony to
radical operation that can be carried out after correction
Hemodynamic and metabolic disorders, during operational state
child. A wide thoracotomy is produced with the removal of gangrenoous
modified light tissues (lobectomy, bilobectomy or even
pulmonectomy).
Forecast. Unfavorable, especially in children of early
Age. However, more older children have initiated
intensive complex therapy, including if necessary
radical operation, you can count on a positive result.
