Closed thoracocentesis and left pleural drainage for unilateral diaphragmatic relaxation

DOI: https://doi.org/10.29296/25877305-2020-11-11
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Issue: 
11
Year: 
2020

O. Deryaeva(1)*, Candidate of Medical Sciences; T. Slepokurova(2); Yu. Tushinskaya(1); M.
Izyumov(1), Candidate of Medical Sciences; M. Romantsov(1) (1)N.N. Burdenko Voronezh State Medical
University (2)Central City Hospital Twenty, Yekaterinburg

Diaphragmatic relaxation can cause a number of difficulties during emergency medical care. To date, there are no clear recommendations governing the actions of surgeons in such situations. The paper describes a clinical case of closed thoracocentesis and pleural drainage for left pleural empyema in a patient with unilateral diaphragmatic relaxation. It shows that invasive intervention under online ultrasound guidance can be performed to prevent iatrogenic injuries of the abdominal organs and to improve the quality of rendered emergency medical care.

Keywords: 
diaphragmatic relaxation
empyema
pleural ultrasound
chest x-ray
closed thoracocentesis



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References: 
  1. Zhestkov K.G. Klinicheskie rekomendatsii po diagnostike i lecheniju relaksatsii. Obscherossijskaja Obschestvennaja Organizatsija «Rossijskoe Obschestvo Hirurgov»: sajt [Zhestkov K. G. Clinical recommendations for the diagnosis and treatment of diaphragm relaxation. All-Russian Public Organization «Russian society of Surgeons»: website (in Russ.)]. URL: http://obschestvo-hirurgov.rf/stranica-pravlenija/klinicheskie-rekomendaci/torakalnaja-hirurgija/klinicheskie-rekomendaci-po-diagnostike-i-lecheniyu-relaksaci-diafragmy.html (Data obraschenija / Accessed: 09.11.2019).
  2. Izjumov M.S., Bulynin V.V., Bobrovskih A.M. Sravnitel'naja morfologicheskaja otsenka reaktsii plevral'nyh listkov i interstitsial'noj tkani legkih v eksperimente u krys na razlichnye himicheskie agenty, primenjaemye pri plevrodeze. Perspektivy nauki i obrazovanija. 2018; 2: 262–6 [Isumov M.S., Bulynin V.V., Bobrovskikh A.M. Comparative morphological assessment of the reaction of pleural leaves and interstitial lung tissue in rats to various chemical agents used in pleurodesis. Prospects of science and education. 2018; 2: 262–6 (in Russ.)].
  3. Hetagurov M.A. Rekonstruktivnye operatsii na diafragme v planovoj torakal'noj hirurgii. Avtoref. dis. kand. med. nauk. M., 2019; s. 21 [Khetagurov M.A. Rekonstruktivnye operatsii na diafragme v planovoi torakal’noi khirurgii. Avtoref. dis. kand. med. nauk. M., 2019; s. (in Russ.)].
  4. Klinicheskaja hirurgija: natsional'noe rukovodstvo: v 3 t. Pod red. V.S. Savel'eva, A.I. Kirienko. M.: GEOTAR-Media, 2010; T. III; s. 231 [Klinicheskaya khirurgiya: natsional’noe rukovodstvo: v 3 t. Pod red. V.S. Savel’eva, A.I. Kirienko. M.: GEOTAR-Media, 2010; T. III; s. 231 (in Russ.)].
  5. Esakov Ju.S., Pechetov A.A., Gritseta A.Ju. Vybor metoda plastiki diafragmy pri priobretennoj relaksatsii s pozitsii dokazatel'noj meditsiny (obzor literatury). Hirurgija. 2014; 11: 88 [Esakov J.S., Pecherov A.A., Griseta A. Y. The Choice of method of plasty of iris in the acquired relaxation from a position of evidence-based medicine (literature review). Surgery. 2014; 11: 88 (in Russ.)].
  6. Derjaeva A.G., Zujkova A.A., Dobrynina I.S. Analiz onkologicheskoj zabolevaemosti na primere raboty terapevticheskogo uchastka polikliniki OGBUZ «Gorodskaja bol'nitsa №2 g. Staryj Oskol». Nauchno-meditsinskij vestnik Tsentral'nogo Chernozem'ja. 2016; 66: 27–31 [Derjaeva A.G., Zuikova A.A., Dobrynina I. S. Analysis of cancer incidence the therapeutic area of the clinic MUCH «City hospital №2 Stary Oskol». Nauchno-meditsinskii vestnik Tsentral’nogo Chernozem’ya. 2016; 66: 27–31 (in Russ.)].
  7. Natsional'nye klinicheskie rekomendatsii «Empiema plevry» (Proekt). Obscherossijskaja Obschestvennaja Organizatsija «Rossijskoe Obschestvo Hirurgov»: sajt [National clinical recommendations «Empyema pleura» (Project) [Electronic resource]. All-Russian Public Organization «Russian society of Surgeons»: website (in Russ.)]. (data obraschenija / accessed: 09.11.2019) URL: http://obschestvo-hirurgov.rf/stranica-pravlenija/klinicheskie-rekomendaci/torakalnaja-hirurgija/nacionalnye-klinicheskie-rekomendaci-yempiema-plevry.html
  8. Bulynin V.V., Nikolaevskij V.A., Syretskih V.A. i dr. Sravnitel'naja aktivnost' razlichnyh kontsentratsij komponentov hlorgeksidin-dioksidinovoj smesi po otnosheniju k patogennoj mikroflore. Nauchno-meditsinskij vestnik Tsentral'nogo Chernozem'ja. 2014; 56: 10–2 [Bulanin V.V., Nikolaev V.A., Syrecky V.A. et al. Comparative activity of different concentrations of chlorhexidine-dioxidine mixture components in relation to pathogenic microflora. Nauchno-meditsinskii vestnik Tsentral’nogo Chernozem’ya. 2014; 56: 10–2 (in Russ.)].