Diagnostic and treatment of fibrinothorax

The OBJECTIVE was to promote the official introduction into clinical practice of term «fibrinothorax» as a separate nosological unit and special form exudative pleurisy. This reflects essence timing pathological process in pleural cavity defines specific set necessary therapeutic diagnostic measures. METHODS AND MATHERIALS . 67 patients with fibrinothorax different volumes were examined treated. Two methods sanitation used: operative (thoracoscopic) «closed» use proteolytic enzymes. RESULTS Among patients, leading cause nonspecific (para- metapneumonic) pleurisy – 48 (72 %) patients. In 7 (10 cases, established, which complicated course tuberculous etiology. 6 (9 effusion transudate, which, against background repeated punctures long periods fluid accumulation cavity, partial delineations formed. Carcinomatous diagnosed study group. Pleural through enzymes performed 49 (73 Thoracoscopic biopsy for 18 (27 material formed basis concept diagnosis optimization treatment. CONCLUSION practice, reflecting this condition, contributes formation treatment algorithm aimed at optimal ways.