Results: after applied APC subjective symptoms are povače and finding gas analysis indicates a part

Introduction: argon plasma calcium oxide coagulation is one of interventional pulmonology technique that is most commonly used for hemostasis with hemoptysis. This technique can be used in the treatment of early stage lung cancer but can also be used as an alternative to laser resection and electrocautery for dezopstrukciju the large airways. Since the recommended techniques for large dezopstrukciju airway laser resection and EC, APC is rarely used for this purpose. calcium oxide
Methods: Case patients 58 years old who was hospitalized for the diagnosis of changes in the lungs to the right, verified calcium oxide CT scan of the chest. calcium oxide In patients in pulmonary function verifies medium heavy mixed disorder of the lung (00:55 Rtot, VC 48.4%, 46.2% FVC, FEV1 38.4%), the findings of arterial blood gas analysis is present global respiratory insufficiency (PaO 2 4.97KPa, PaCO2 6.53Kpa, SaO2 84.9%). THE upper abdomen was without pathological changes. Due to the presence of pleural effusion underwent evacuation puncture, which results in exudate, cytological mixed cellular calcium oxide composition. Bronchoscopic the distal trachea to the right main bronchus, seen infiltrated mucosa without calcium oxide breakthrough cancer, with normal results left. Biopsy of the tumor was detected moderately differentiated squamous calcium oxide cell lung cancer. calcium oxide The patient was kept in hospital treatment due to poor gas exchange parameters and infection. 16 days after of the initial bronchoscopy, suddenly comes to the appearance of intense dyspnea, cough, and pain in the right hemithorax, followed by deepening calcium oxide respiratory calcium oxide failure and deterioration of lung function parameters to radiological image atelectasis right. We performed bronchoscopy when describing tumor breakthrough in distal trachea with complete obstruction of the right main bronchus. Immediately access argon plasma coagulation, tumor is coagulated and detritus resected forceps. The complete recanalization of the trachea and right main bronchus.
Results: after applied APC subjective symptoms are povače and finding gas analysis indicates a partial respiratory insufficiency (PaO 2 8.84KPa, PaCO2 5:34 Kpa, SaO2 93.7%). Lung function, indicating normal resistance value edobronhijalnog 0:30 with improvement and other parameters (VC 57%, 60% FVC, FEV1 50%).
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