Etiology, clinical picture, diagnosis and treatment of pleural empyema. Current notion (Review of literature)
DOI: 10.22138/2500-0918-2016-15-3-61-74
A.G. Amarantov, A.V. Khorinko, P.V. Kosareva
Perm State Medical University named after E.A. Wagner, Perm, Russian Federation;
Perm Territorial Oncology Dispensary, Perm, Russian Federation
Abstract.
Treatment of patients with pleural empyema still remains a difficult task. Lethality of patients with empyema forms 5 to 25%. A wide range of diseases including: infectious diseases of the lung, surgery on thoracic organs, chest injury, extrapulmonary suppurative diseases promotes the development of pleural empyema. Ineffective treatment of pleural empyema leads to the formation of chronic suppurative pleurisy, and, as a consequence, to disability. In this connection, the etiology, pathogenesis, diagnosis and improvement of treatment tactics of empyema is paid much attention to. The review contains the generalized data on the etiology, some aspects of pathogenesis in the context of the prospects of PE diagnosis, classification highlights; the discussion on the choice of surgical treatment of patients is given.
Keywords:
pleural empyema, etiology, pathogenesis, diagnosis, surgical treatment
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Authors
Khorinko Andrei V.
Perm Territorial Oncological Dispensary
Head of The First Department of Chemotherapy
Russion Federation 614066, Perm, str. Bauman, 15
permcancer@yandex.ru
Amarantov Dmitriy G.
Perm State Medical University named after E.A. Wagner
PhD, MD, Associate Professor, Associate Professor of Department of Normal, Topographic and Clinical Anatomy and Operative Surgery
Russian Federation 614990, Perm, Petropavlovskaya str., 26
rector@psma.ru
Kosareva Pauline V.
Perm State Medical University named after E.A.Wagner
PhD, MD, Chief Researcher of Central Research Laboratory, Department of Morphological and Pathophysiological Studies, Head of the Course of Clinical Laboratory Diagnostics, Associate Professor of Department of Microbiology, Virology with the Course of Clinical Laboratory Diagnostics
Russian Federation 614990, Perm, Petropavlovskaya str., 26
rector@psma.ru
Received — 02.03.16
Forcitation:Amarantov A.G., Khorinko A.V., Kosareva P.V. Jetiologija, patogenez, klinika, diagnostika i lechenie jempiemy plevry. sovremennye predstavlenija (Obzor literatury) [Etiology, clinical picture, diagnosis and treatment of pleural empyema. current notion (Review of literature)]. Vestn.Ural. Med. Akad. Nauki. – Journal of Ural Medical Academic Science. 2016, no. 3, pp. 61–74. DOI: 10.22138/2500-0918-2016-15-3-61-74 [In Russ.]
