ATELECTASIS: CLINICAL AND ENDOSCOPIC COMPARISONS

DOI: https://doi.org/10.29296/25877305-2019-02-08
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Issue: 
2
Year: 
2019

M. Shteiner(1, 2), MD; Professor A. Zhestkov(2), MD; Yu. Biktagirov(2), Candidate of Medical Sciences, Professor E. Korymasov(2), MD; E. Krivoshchekov(2), MD; A. Protasov(2), MD; V. Kulagina(3), Candidate of Medical Sciences; V. Petrov(1); M. Zolotov(4) 1-Samara City Hospital Four 2-Samara State Medical University 3-Samara Medical University «REAVIZ» 4-OOO «Ars Vite Private Clinic», Samara

Clinical and endoscopic comparisons were carried out in 156 patients with identified atelectasis. Bronchoscopy showed that 68.6% of cases had atelectasis due to bronchial obturation with a tumor, secretory plug or foreign body; 16.67% of cases were noted to have bronchial compression caused by external compression due to (as brought to light later) peribronchial tumor growth or to have bronchial compression due to enlarged lymph nodes. Bronchoscopy revealed no abnormalities in 14.7% of cases; during treatment these patients were found to have community-acquired pneumonia (12.2%) and infiltrative pulmonary tuberculosis (2.56%).
Keywords: 
pulmonology
atelectasis
bronchoscopy

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References: 
  1. Shtejner M.L. Fibrobronhoskopija: algoritm primenenija // Ural'skij med. zhurn. – 2011; 14 (92); 29–33. [Shteyner M.L. Fibrobronkhoskopiya: algoritm primeneniya // Ural'skiy meditsinskiy zhurnal. – 2011; 14 (92); 29–33 (in Russ.)]
  2. Volkov B.C. Bronhoskopija v differentsial'noj diagnostike porazhenij bronhov pri tuberkuleze i onkologicheskih protsessah // Voenno-meditsinskij zhurnal. – 2007; 328 (4): 20–3. [Volkov V.S. Bronchoscopy in differential diagnosis of bronchial lesions in the cases of tuberculosis and oncologic processes // Voyenno-meditsinskiy zhurnal. – 2007; 328 (4): 20–3 (in Russ.)].
  3. Harchenko V.P., Chernichenko N.V., Gvarishvili A.A. i dr. Algoritm instrumental'noj diagnostiki zlokachestvennyh obrazovanij legkih // Voprosy onkologii. – 2009; 55 (4): 459–62. [Kharchenko V.P., Chernichenko N.V., Gvarishvili A.A. et al. Algorithm of instrumental diagnosis of pulmonary malignancies // Voprosy onkologii. – 2009; 55 (4): 459–62. (in Russ.)].
  4. Kuchmaeva T.B., Scheglov V.V. Rol' bronhoskopii v differentsial'noj diagnostike bronhoobstruktivnogo sindroma // Med. vestn. Severnogo Kavkaza. – 2014; 9 (4): 384–6. [Kuchmayeva T.B., Shcheglov V.V. The role of bronchoscopy in the differential diagnosis of bronchial obstruction syndrome // Medical News of North Caucasus. – 2014; 9 (4): 384–6 (in Russ.)] http://dx.doi.org/10.14300/mnnc.2014.09110.
  5. Bidwell J., Pachner R. Hemoptysis: Diagnosis and Management // Am. Fam. Physician. – 2005; 72 (7): 1253–60.
  6. Paintal H., Kuschner W. Aspiration syndromes 10 clinical pearls every physicians should know // Int. J. Clin. Pract. – 2007; 61 (5): 846–52.
  7. Svistushkin V.M., Mustafaev D.M. Inorodnye tela v dyhatel'nyh putjah // Ross. med. zhurn. – 2013; 33: 1681–5. [Svistushkin V.M., Mustafayev D.M. Inorodnyye tela v dykhatel'nykh putyakh // Rossiyskiy meditsinskiy zhurnal. – 2013; 33: 1681–5 (in Russ.)].
  8. Emel'janov A.V., Sergeeva G.R., Leshenkova E.V. Tjazhelaja bronhial'naja astma // Meditsinskij sovet. – 2014; 16: 18–22. [Emelyanov A.V., Sergeeva G.R., Leshenkova E.V. Bronchial asthma. Alone with the doctor // Meditsinskiy sovet. – 2014; 16: 18–22 (in Russ.)] https://doi.org/10.21518/2079-701X-2014-16-18-23.
  9. Shtejner M.L., Zhestkov A.V., Lavrent'eva N.E. i dr. Endobronhit so slizisto-gnojnym sekretom u patsientov s HOBL: kliniko-endoskopicheskie paralleli // Prakt. med. – 2016; 3 (95): 25–8. [Shteiner M.L., Zhestkov A.V., Lavrentyeva N.E. et al. Endobronchitis with mucopurulent discharge in patients with COPD: clinical and endoscopic parallels // Prakticheskaya meditsina. – 2016; 3 (95): 25–8 (in Russ.)].
  10. Fedchenko G.G., Chernehovskaja N.E., Salgaparova O.R. i dr. Luchevaja i endoskopicheskaja semiotika raka legkogo // Pul'monologija. – 2004; 6: 49–54 [Fedchenko G.G., Chernekhovskaya N.Ye., Salgaparova O.R. i dr. Luchevaya i endoskopicheskaya semiotika raka legkogo // Pul'monologiya. – 2004; 6: 49–54 (in Russ.)].
  11. Trahtenberg A.H., Kolbanov K.P., Sedyh S.A. Osobennosti diagnostiki i lechenija raka legkogo // Pul'monologija. – 2008; 4: 5–17. [Trakhtenberg A.M., Kolbanov K.I., Sedykh S.A. Character features of diagnosis and treatment of lung carcinoma // Pul'monologiya. – 2008; 4: 5–17 (in Russ.)].
  12. Hajt G.Ja., Epanov V.A., Portnov M.Ju. i dr. K voprosu ob inorodnyh telah dyhatel'nyh putej // REJR. – 2015; 5 (3): 96–101. [Khayt G.Y., Epanov V.A., Portnov M.Y. et al. To the question about foreign bodies of respiratory tract // REJR. – 2015; 5 (3): 96–101. (in Russ.)].
  13. Shtejner M.L., Biktagirov Ju.I., Korymasov E.A. i dr. Inorodnye tela traheobronhial'nogo dereva: problemy vzrosloj praktiki // Prakt. med. – 2017; 4 (105): 96–101 [Shteiner M.L., Biktagirov Yu.I., Korymasov E.A. et al. Foreign bodies in the tracheobronchial tree: practical issues in relation to adult patients // Prakticheskaya meditsina. – 2017; 4 (105): 96–101 (in Russ.)].
  14. Gayathri A., Narasimhan R. Critical Care Bronchoscopy – A retrospective analysis in Two Teritary Care Hospitals // Indian J. Bronchology. – 2006; 1 (1): 16–23.
  15. Mironov A.V., Pinchuk T.P., Selina I.E. i dr. Ekstrennaja fibrobronhoskopija v diagnostike i lechenii atelektaza legkogo // Anesteziologija i reanimatologija. – 2013; 6: 51–4 [(in Russ.)].
  16. Shtejner M.L., Zhestkov A.V., Sirotko I.I. Neobhodimost' v bronhologicheskom posobii u patsientov s bronhoobstruktivnym sindromom vsledstvie massivnoj obstruktsii nizhnih dyhatel'nyh putej bronhial'nym sekretom // Vrach. – 2016; 2: 37–8. [Shteiner M., Zhestkov A., Sirotko I. Bronchoscopy for bronchial secretion-induced massive obstruction of the lower respiratory tract // 2016; 2: 37–8 (in Russ.)].
  17. Zvjagin A.A., Kazennov V.V., Larionov I.Ju. i dr. Problemy dlitel'noj ventiljatsii legkih u bol'nyh v kriticheskih sostojanijah // Hirurgija. Zhurnal im. N.I. Pirogova. – 2008; 12: 27–34. [Zvyagin A.A., Kazennov V.V., Larionov I.Yu. et al. Prolonged pulmonary ventilation in critically ill patients // Khirurgiya. Zhurnal im. N.I. Pirogova. – 2008; 12: 27–34 (in Russ.)].
  18. Ambrosino N., Vagheggini G. Noninvasive positive pressure ventilation in the acute care setting: where are we? // Eur. Respir. J. – 2008; 31: 874–86.
  19. Nava S., Hill N. Non-invasive ventilation in acute respiratory failure // Lancet. – 2009; 374: 250–9.
  20. Leont'ev A.S., Korotkevich A.G., Serebrennikova E.V. i dr. Struktura rannih oslozhnenij pri dlitel'noj IVL // Meditsina v Kuzbasse. – 2012; 11 (3): 37–40 [Leontyev A.S., Korotkevich A.G., Serebrennikova E.V. et al. Structure of early complications in long-term ventilation // Medicine in Kuzbass. – 2012; 11 (3): 37–40 (in Russ.)].