TY - JOUR T1 - The management of patients with acute destructive lung diseases in conditions of urgent thoracic surgery JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P4349 AU - Evgeny Korymasov AU - Armen Benyan AU - Sergey Pushkin AU - Anton Tepikin Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P4349.abstract N2 - Objective. Acute destructive lung diseases often require the treatment of thoracic surgeon. The results of surgical and therapeutic methods depend of type, sizes of destruction and complications. Important role have also the conditions of medical management.Methods. For last 2-year period we have treated 303 patients with acute destructive lung diseases. They were 245 male, 58 female. The median age was 46 years. There were 118 patients with lung abscesses (38,9%), 151 patients with necrotizing pneumonia (49,9%), and 34 patients with lung gangrene (11,2%). We have registered such complications as pleurisy – at 12 patients, pleural empyema - at 58 patients, pulmonary hemorrhage – at 8 patients.Results. If patient didn't need the urgent surgical procedures we started with therapy and then estimate the efficacy of treatment. In all conservative treatment has been applicated at 207 patients (68,3%). 96 patients (31,7%) underwent surgical treatment. We have performed 16 lobectomies, 6 wedge resections, 5 pneumonectomies, 5 tracheostomies, 6 thoracoabscessostomies, 6 endovascular occlusions of bronchial arteries, 2 pleurectomies, 8 thoracoscopies, and 60 pleural drainages. From 114 operations 91 were urgent, 23 had been done later as acute process regressed. Clinical and roentgenologic recovery had been registered at 261 patient (86,1%). Chronization of disease developed at 18 patients (6,0%). General mortality was 24 patients (7,9%).Conclusion. Despite of most of patients with acute destructive lung diseases had been treated conservatively, they had to be directed to thoracic divisions, because of frequent and sudden development of surgical situations. ER -