Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Paliativno bronhoskopsko zdravljenje tumorskega zoženja velikih dihalnih poti = Palliative bronchoscopic treatment of tumour central airways stenosis
    Debeljak, Andrej, 1940- ...
    Background. This article presents our three year experience with bronchoscopicmanagement of central bronchial tumours stenosis. Methods. In theyears 2000, 2001, and 2002, 52 patients (43 men, 9 ... women), aged 62.3 10.8years with central airway obstruction because of primary or secondary malignant tumours in 47 cases (90%) and benign diseases in 5 (10%) were treated. Topical anaesthesia with Lidocaine in all 52 patients where flexible bronchoscopes Olympus were applied was used. Additionally, Fentanyl or Diprivane were used in 25patients where rigid bronchoscopy (Storz) was performed. Mechanical removaland electrocautery resection (Olympus) were used for tumour resection. In 2 patients Polyflex stent (Rusch) was introduced intothe trachea. Results. We treated 17 (33 %) tumours in the trachea, 14 (27%) in the right, 15 (29%) in the left main bronchi and 6 (11%) in more peripheral bronchi. The combination of mechanical removal and electrocautery was applied in 32 (61%), mechanical removal alone in 4 (8%) and electrocauteryalone in 16 (31%) of patients. Symptomatic relief was achieved in 41 (79%) patients. In 47 patients with malignant tumours bronchoscopic intervention was applied during the first diagnostic procedure 28 times (60%),after additional surgery, radiotherapy or chemotherapy 14 times (30%) and between additional therapeutic interventions 5 times (10%). The procedure had to be terminated in one patient due to hypoxemia. There was no immediate mortality. Conclusions. Mechanical desobstruction in combination with electrocautery through the flexible and/or rigid bronchoscopes and stent introduction in patients with central airways tumours are efficient and rathersafe palliative procedures.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 72, št. 7/8, jul.-avg. 2003, str. 435-438)
    Vrsta gradiva - članek, sestavni del
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 16740313

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    Digitalna knjižnica Slovenije - dLib.si

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