Pneumolysis Intrapleural

**Intrapleural pneumolysis** (pl-a: pneumolysis intrapladuralis, syn.; pneumolysis of the mediastinum). Used to relieve pleuropulmonary hyperotonic syndromes, pulmonary and pleural effusions. It is carried out in two stages: in the first stage, a thoracotomy is performed under anesthesia, the pleural cavity is opened, 0.5-1 liters of a sterile solution of glucose or glycerin is injected into the cavity, which is evacuated within 30 minutes. One or more chest tubes are then placed. At the second stage, in the absence of pleural exudate or hygroma, pneumolysis is performed. If there is a pleural cavity, after evacuation of the accumulated exudate, cystectomy is performed. Courses of physiotherapy (electrophoresis of novocaine, etc.) and symptomatic therapy are conducted. The indication for pneumolysis is the presence of hygroma, ascites, and pneumonia in the pleural area, which are often observed during cardiac decompensation in patients with cardiovascular diseases, especially after mitral surgeries and large transmural myocardial infarctions. The introduction of pneumolysis has significantly expanded the possibilities of treating a number of diseases, especially during repeated operations.