METHOD FOR TREATMENT OF ACUTE PLEURAL EMPYEMA IN CHILDREN Russian patent published in 2022 - IPC A61B17/94 A61B1/15 A61B1/55 A61K38/43 A61P11/00 A61N7/00 

FIELD: medicine.

SUBSTANCE: invention relates to the field of medicine, namely to pediatric surgery. An optical trocar is installed in the 5th intercostal space along the scapular line and working trocars in the 6-7 intercostal space along the anterior axillary and 7 intercostal space along the posterior axillary or scapular lines. Mechanical separation of the indurations and ultrasonic cavitation of the pleural cavity and lungs are performed. Fibrin overlays and masses on the costal and visceral pleura are removed from the interstitial crevices, sinuses and evacuated with an electric pump. An exploration of the pleural cavity and lungs is carried out. Through the working trocars, an aspirator pump is sequentially injected and the pleural cavity and lungs are irrigated with a solution of chymopsin in a mass of 0.01 mg 0.2-0.5 liters of saline solution and an exposure of 10 minutes. Aspiration of a solution of chymopsin and separated fibrin masses is performed, followed by washing with saline solution under visual control. Pleural drains are installed and active aspiration is formed upon completion of the operation. Then, on the 2^nd day after the operation, the pleural cavity is injected and irrigated with 0.1-0.2 liters of a 5000 IU prourokinase solution at a temperature of 36.6°C with the condition of exposure of the solution for 180 minutes and aspiration of the solution. The pleural cavity is washed with 1.0 l saline solution through installed drains.

EFFECT: method makes it possible to increase the efficiency of sanitation of the pleural cavity and lung, prevent fibrothorax, prevent the formation of dense visceral-costal adhesions, shorten the time of relief of pleural effusion, bacteriological sanitation, purulent-inflammatory process and respiratory failure, shorten the duration of antibacterial therapy.

1 cl, 2 ex