Pulmonectomy (synonym of pulmonate) is an operation to remove the lung. In chronic suppurative process with the defeat of the entire lung, unilateral fibro-cavernous tuberculosis (so-called destroyed light), malignant tumors, multiple cysts, extensive bronchiectasis, as well as in profuse pulmonary hemorrhage and injuries, extensive damage to the parenchyma of the lung.
Pneumonectomy produced under the endotracheal anesthesia. Preparation for the operation, see the Preoperative period. The operating wound of the chest wall tightly sewn with the introduction of the drainage of the pleural cavity.
In the next 2-3 days after the operation to be constant monitoring of the patient's condition, regular measurement of blood pressure, pulse rate and respiration, body temperature, urine output, identify the nature and quantity of the discharge of drainage. In the first day the patient is in a horizontal position, on the second day the head end of the bed is raised.
In the postoperative period conduct oxygen therapy (via a nasal catheter), a blood transfusionadministered antibiotics (streptomycin, penicillin and other), pain (2% solution of omnopon 1 to 2 ml 3-4 times a day) and cardio-vascular equipment (kordiamin, camphor, ephedrine and others). It is recommended that light food, rich in protein and vitamins. The drain is removed in a few days after the operation.
When smooth postoperative period of about a year after pneumonectomy there comes a state of comparative compensation recovery of working ability of the patient.