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[外科治疗在纤维空洞型肺结核患者中的作用]

[Role of surgical treatments in patients with fibrocavernous pulmonary tuberculosis].

作者信息

Grishchenko N G, Krasnov V A, Andrenko A A, Paraskun V G, Stepanov D V, Krasnov D V, Beschetnyĭ T G

出版信息

Probl Tuberk. 2003(2):36-8.

Abstract

Three hundred and seventy patients operated on at the Institute Surgical Clinic underwent 638 surgical interventions: 356 and 282 in Groups 1 and 2 patients, respectively. Intraoperative complications occurred in 24 (3.8%) cases, in 6.5% of the patients operated on. Twenty-two complications were successfully eliminated, 2 patients died. Postoperative complications were established in 25 (14.8%) of the 169 patients of Group 1 and in 12 (6.0%) of the 201 patients of Group 2. The incidence of complications largely depended on the type of an operation. Complications were observed in 8 (36.4%) of the 22 patients undergone pulmonectomy. The active phase of a specific process as a surgical risk factor is prime consideration. In patients operated for emergency indications in the phase of an non-arrested exacerbation of tuberculosis, pleuropulmonary complications occur 2.5 times as frequently as those in patients with relative process stabilization.

摘要

370名在该研究所外科诊所接受手术的患者共接受了638次手术干预:第1组和第2组患者分别接受了356次和282次手术。术中并发症发生在24例(3.8%),占接受手术患者的6.5%。22例并发症得到成功消除,2例患者死亡。第1组169例患者中有25例(14.8%)出现术后并发症,第2组201例患者中有12例(6.0%)出现术后并发症。并发症的发生率很大程度上取决于手术类型。在接受肺切除术的22例患者中,有8例(36.4%)出现并发症。作为手术风险因素的特定过程的活跃期是首要考虑因素。在结核病非静止期加重阶段因紧急指征接受手术的患者中,胸膜肺并发症的发生率是病情相对稳定患者的2.5倍。

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