Novosti
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Year 2024 Vol. 32 No 1
SCIENTIFIC PUBLICATIONS
M.F. CHERKASOV, I.I. BABICH, Y.N. MELNIKOV, I.O. BAGNOVSKY
CURRENT ASPECTS OF TREATMENT OF ACUTE PURULENT DESTRUCTIVE PNEUMONIA IN CHILDREN
Federal State Budgetary Educational Establishment of Higher Education "Rostov State Medical University" of the Ministry of Health of the Russian Federation,
State Budgetary Institution of the Rostov Region "Regional Children's Clinical Hospital", Rostov-on-Don,
Russian Federation
Acute purulent destructive pneumonia (APDP) is focal or confluent pneumonia of various etiologies, characterized by necrosis and purulent melting of lung tissue with the addition of pleural complications. The severity of the disease is due to a combination of respiratory and heart failure against the background of a pronounced intoxication syndrome, and a high mortality rate (2 - 13%). In children of the first year of life, mortality can reach from 22 to 51%. At the same time, hospitalization periods, according to various literature sources, can vary from 15 to 47 bed days. The study analyzed domestic and foreign literature data on surgical treatment of destructive pneumonia in children, published over the past 10 years. The search was carried out using keywords in such search engines as: eLibrary, PubMed, Medline, Scopus, Google Scolar. The article presents a review of 49 literature sources, which contains studies on the epidemiology, classification, diagnosis and treatment of destructive pneumonia in children. The work separately emphasizes the importance of early thoracoscopy in children with pulmonary-pleural forms of destructive pneumonia. The problem of treating destructive pneumonia in children currently remains extremely relevant. Despite the development of medical technologies and the introduction of new treatment methods, mortality in childhood remains at a fairly high level. The length of hospitalization due to the development of pulmonary-pleural complications can reach 47 bed-days. The issue of radical relief of bronchopleural fistulas, according to the authors remains open and requires the development of new treatment methods.
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344022, Russian Federation,
Rostov region, Rostov-on-Don,
Nakhichevansky alley, 29,
tel. +7 9508492721,
e-mail: pobzder@rambler.ru,
Melnikov Yuri Nikolaevich
Cherkasov Mikhail Fedorovich, MD, PhD, Professor, Head of the Department of Surgery No. 4, Rostov State Medical University, Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0001-7587-8406
Babich Igor Ivanovich, MD, PhD, Professor, Professor, Department of Surgery No. 4, Rostov State Medical University, Rostov-on-Don, Russian Federation,
https://orcid.org/0000-0001-8282-2785
Bagnovsky Igor Olegovich, PhD, Head of the Endoscopic Department of the State Budgetary Institution RO «Regional Children’s Clinical Hospital», Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0003-3672-4177
Melnikov Yuri Nikolaevich, PhD, Assistant of the Department of Surgery No. 4, Rostov State Medical of University, Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0002-7035-0415