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Dvojnoe bremya novoj koronavirusnoj infekcii COVID-19 i tuberkuleza yavlyaetsya odnoj iz global'nyh problem segodnyashnego dnya. Malo izucheny osobennosti okazaniya ekstrennoj hirurgicheskoj pomoshchi etomu kontingentu pacientov. Cel'yu issledovaniya bylo ocenit' rezul'taty lecheniya ostroj hirurgicheskoj patologii u pacientov s novoj koronavirusnoj infekciej COVID-19 v sochetanii s tuberkulezom. Za 2020 g. prolecheno 465 pacientov s sochetannoj infekciej COVID-19/tuberkulez, pri etom ekstrennaya hirurgicheskaya pomoshch' potrebovalas' v 36 (5,6%) sluchayah, v tom chisle 16 pacientam s VICH-infekciej, kotorym vypolneno 64 ekstrennyh operativnyh vmeshatel'stva. Tuberkulez organov dyhaniya vyyavlen u 13 (36,1%) bol'nyh, generalizovannyj — u 23 (63,9%). Po dannym komp'yuternoj tomografii (KT) organov grudnoj kletki ob"em vovlecheniya legochnoj tkani pri virusnoj pnevmonii COVID-19 menee 25% zaregistrirovan u 61,9% bol'nyh, 25–50% — u 30,6%, 50–75% — u 5,6%. KT organov bryushnoj polosti pozvolila vyyavit' oslozhneniya adbominal'nogo tuberkuleza (perforacii tuberkuleznyh yazv kishechnika, ostruyu kishechnuyu neprohodimost', tuberkuleznyj peritonit), tuberkuleznyj spondilit, oslozhnennyj psoas-abscessom. Raspredelenie operativnyh vmeshatel'stv bylo sleduyushchim: 28,2% — abdominal'nyh, 23,2% — torakal'nyh, 15,6% — pri gnojnyh zabolevaniyah myagkih tkanej, 32,8% — prochih. V posleoperacionnom periode letal'nost' sostavila 22,2%. Po rezul'tatam issledovaniya mozhno sdelat' vyvod, chto novaya koronavirusnaya infekciya COVID-19 u pacientov s tuberkulezom, podvergnutyh ekstrennym operativnym vmeshatel'svam, ne vnesla sushchestvennogo vklada v uvelichenie posleoperacionnoj letal'nosti.

Ekstrennaya hirurgicheskaya pomoshch' bol'nym novoj koronavirusnoj infekciej COVID-19 i tuberkulezom v mnogoprofil'noj klinike