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Empiem po pnevmonektomiji : Postpnevmonectomy empyemaZorko, Anton, zdravnik ...Empiem po pnevmonektomiji še vedno ostaja izredno resen zaplet, ki se lahko konča tudi s smrtnim izhodom. Če je vzrok nastanka empiema bronhoplevralna fistula, sta klinična slika in s tem tudi ... zdravljenje toliko lažja. V obdobju zadnjih pet let smo na Oddelku za torakalno kirurgijo operirali 427 bolnikov s pljučnim rakom. Poleg ostalih operacij smo napravili tudi 64 (15 %) pnevmonektomij. Pri petih bolnikih se je v prvih tridesetih dneh pojavila bronhoplevralna fistula s posledičnim empiemom plevralnega prostora. Pri vseh petih bolnikih smo takoj napravili drenažo in lavažo plevralnega prostora, bolnika antibiotsko zaščitili, opravili bronhoskopijo in se na osnovi velikosti okvare na krnu bronhusa odločili za nadaljnji postopek. Pri dveh bolnikih, pri katerih je bila okvara bronhialnega krna manjša kot pet mm, smo se odločili za konzervativno zdravljenje. Pri ostalih treh, okvara je bila večja kot deset mm, smo le-to pokrili s pečico. V pooperativnem poteku večjih zapletov nismo opazili. Vseh pet bolnikov je bilo odpuščenih. Štirje od njih so se vedno v ambulantni oskrbi.Source: Zbornik predavanj (str. 49-52)Type of material - conference contribution ; adult, seriousPublish date - 2004Language - slovenianCOBISS.SI-ID - 1741119
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Zorko, Anton, zdravnik | |
Antonič, Jože, kirurgija, 1947- | |
Crnjac, Anton | 27960 |
Veingerl, Bojan | |
Vadnjal, Ani | |
Vadnjal Đonlagić, Sabina | 26223 |
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