[Pathogenesis of the progression of bronchial lesions in bronchiectasis].
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Among 1000 patients with unilateral and bilateral bronchiectases 35 patients were subjected to repeat pneumonectomies for residual and recurrent bronchiectases. In residual bronchiectases segmental resections are mostly indicated, while in persistant atelectasis with bronchial fistula, chronic pleural empyema and bronchiectases a removal of the remain lung portions seems to be the only radical method of treatment.
In 12 patients in different terms after bronchial resection for bronchiectases changes in the minor circulatory circuit were analysed, taking into account catheterization findings in the pulmonary artery and the data of angiopneumonography. The studies have indicated that after resection of segmental bronchi the corresponding segments remain airful, if in the boundaries of the same lobe normally ventilated segments are preserved. Blood flow through pneumotized (with resected bronchi) segments is functionally blocked. Segmental angiopneumonography performed following a year and a half proved a complete anatomical patency of the vascular bed.
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