EXPERIENCE OF AEROSOLTHERAPY IN PULMONARY TUBERCULOSIS

In recent years, there have been significant changes in the clinical course of pulmonary tuberculosis (A.E. Rabukhin, S.E. Nezlin, F.A. Mikhailov, etc.). In contrast to previous years, cavernous forms of tuberculosis took a protracted, torpid course, pronounced sclerotic and emphysematous changes are observed in the lung tissue (N. A. Lifshits, L. A. Vinnik). There is an increase in the proportion of patients with chronic cavernous forms of tuberculosis among the dispensary contingents (BL Mazur, VA Nesterov). The development of cicatricial connective tissue leads to a variety of disorders in the structure and function of the bronchial tree and creates the prerequisites for complications by secondary infection and subsequent formation of bronchiectasis. Currently, the components of the clinical picture of chronic forms of cavernous tuberculosis are formed not only due to the phenomena of specific tuberculous intoxication, but, perhaps, to a greater extent due to emphysema, pneumosclerosis and bronchiectasis, often complicated by secondary infection, symptoms of pulmonary heart failure.