Greške i komplokacije torakalne drenaže.
In: Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, Jg. 63 (2006-02-01), Heft 2, S. 137-142
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Zugriff:
Background/Aim. Thoracic drainage is a surgical procedure for introducing a drain into the pleural space to drain its contents. Using this method, the pleura is discharged and set to the physiological state which enables the reexpansion of the lungs. The aim of the study was to prove that the use of modern principles and protocols of thoracic drainage significantly reduces the occurrence of failures and complications, rendering the treatment more efficient. Methods. The study included 967 patients treated by thoracic drainage within the period from January 1, 1989 to June 1, 2000. The studied patients were divided into 2 groups: group A of 463 patients treated in the period from january 1, 1989 to December 31, 1994 in whom 386 pleural drainage (83.36%) were performed, and group B of 602 patients treated form January 1, 1995 to June 1, 2000 in whom 581 pleural drainage (96.51%) were performed. The patients of the group A were drained using the classical standards of thoracic drainage by the general surgeons. The patients of the group B, however, were drained using the modern standards of thoracic drainage by the thoracic surgeons, and the general surgeons trained for this kind of the surgery. Results. The study showed that better results were achieved in the treatment of the patients from the group B. The total incidence of the failures and complications of thoracic drainage decreased from 36.52% (group A) to 12.73% (group B). The mean length of hospitalization of the patients without complications in the group A was 19.5 days versus 10 days in the group B. The mean length of the treatment of the patients with failures and complications of the drainage in the group A was 33.5 days versus 17.5 days in the group B. Conclusion. The shorter length of hospitalization and the lower morbidity of the studied patients were considered to be the result of the correct treatment using modern principles of thoracic drainage, a suitable surgical technique, and a careful follow-up of the patients. [ABSTRACT FROM AUTHOR]
Uvod/Cilj. Torakalna drenaža je hirurški postupak kojim se dren uvodi u pleuralni prostor radi evakuacije pleuralnog sadržaja. Ovom metodom se pleura prazni dovodi u fiziološko stanje čime se omogućava reekspanzija pluća. Cilj istraživanja je bio da se dokaže da poštovanje savremenih principa i protokola torakalne drenaže smanjuje mogućnost nastanka grešaka komplikacija i čini lečenje efikasnijim. Metode. Istraživanjem je obuhvaćeno 967 bolesnika, lečeno torakalnom drenažom u periodu od 01.01.1989. do 01.06.2000. Ispitanici su bili podeljeni u dve grupe: grupu A sa 463 bolesnika lečenih u periodu od 01.01.1989. do 31.12.1994. kod kojih je urađeno 386 pleuralnih drenaža (83,37%) grupu B sa 602 bolesnika lečena u periodu od 01.01.1995. do 01.06.2000. kod kojih je urađena 581 pleuralna drenaža (96,51%). Bolesnici grupe A bili su drenirani prema klasičnim standardima torakalne drenaže i sprovodili su je opšti hirurzi. Bolesnici grupe B su lečeni primenom savremenih standarda torakalne drenaže i nju su izvodili torakalni hirurzi i opšti hirurzi edukovani za takav vid drenaže. Rezultati. Studija je pokazala da su bolji rezultati lečenja postignuti kod bolesnika grupe B. Ukupna učestalost grešaka i komplikacija torakalne drenaže opala od 36,52% (grupa A) na 12,73% (grupa B). Dužina hospitalizacije bolesnika bez komplikacija u grupi A iznosila je prosečno 19,5 dana, a u grupi B 10 dana, dok dužina lečenja bolesnika sa greškama i komplikacijama drenaže u grupi A bila prosečno 33,5 dana, a u grupi 17,5 dana. Zaključak. Razlika u dužini hospitalizacije morbiditetu bolesnika su rezultat primene savremenih stavova torakalne drenaže, pravilne hirurške tehnike pažljivog praćenja bolesnika. [ABSTRACT FROM AUTHOR]
Titel: |
Greške i komplokacije torakalne drenaže.
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Autor/in / Beteiligte Person: | Đorđević, Ivana ; Stanić, Vojkan ; Nestorović, Milica ; Vulović, Tatjana |
Zeitschrift: | Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, Jg. 63 (2006-02-01), Heft 2, S. 137-142 |
Veröffentlichung: | 2006 |
Medientyp: | academicJournal |
ISSN: | 0042-8450 (print) |
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