Treatment of Acute Lung Abscesses Considering their Non-Respiratory Function in Patients with Diabetes

Abstract

During the examination and treatment of 465 patients with acute lung abscesses on the background of
diabetes mellitus, a preoperative preparation program was developed that takes into account the phase of the
process (group 1 - septic course of the process, group 2 - stabilization, group 3 - remission), the severity of
endotoxemia and non-respiratory lung function. Patients of the 1st group against the background of basic
long-term intra-arterial catheter therapy used the scheme of correction of non-respiratory function of the
lungs that we developed, sanitized purulent foci with an electrolyzed solution of sodium hypochlorite. In
202 (79.9%) of 254 patients of the 1st group, it was effective that allowed to refuse the operation, while only
52 (40.6%) were not operated on in the 2nd, and 26 in the 3rd (31.3%) patients. In parallel, a pronounced
normalizing effect was achieved in correcting the degree of violation of non-respiratory lung function
against the background of delimitation and stabilization of the process. This allowed in 109 (60.9%) of 179
operated patients to confine themselves to lung resection with 8.7% of postoperative complications in the 1st
group versus 18.4% in the 2nd and 24.6% in the 3rd, which emphasizes the effectiveness of our preoperative
preparation.