[Pulmonary-compression echinococcosis in children].

Vestn Khir Im I I Grek

Published: November 1980

Great and gigantic strained (preperforative) echinococcal pulmonary cysts were observed in 31 children. As a result of compression such cysts exclude from ventilation a significant part of the lung, displace the mediastinal organs and diaphragm thus disturbing the respiration and the work of the cardio-vascular system. Chronic intoxication and the allergic background contribute to the development of subcompensated chronic hepato-cellular insufficiency. A minimum trauma or allergic reaction can result in a rupture of the strained (preperforative) cyst of the lung. So there are strict contraindications for bronchography and the Cazoni test. Infusions of colloid solutions and hemotransfusions should be fulfilled but according to strict indications with all precautions. Organ-preserving operations were performed on 19 patients, resection of the lung--on 12 patients. There were no lethal outcomes.

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Great and gigantic strained (preperforative) echinococcal pulmonary cysts were observed in 31 children. As a result of compression such cysts exclude from ventilation a significant part of the lung, displace the mediastinal organs and diaphragm thus disturbing the respiration and the work of the cardio-vascular system. Chronic intoxication and the allergic background contribute to the development of subcompensated chronic hepato-cellular insufficiency.

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