Sabirov Sh Iu, Kariev T M, Samatov E V
Probl Tuberk Bolezn Legk. 2003(6):23-5.
The results of pulmonectomy performed in 75 patients with disseminated destructive pulmonary tuberculosis complicated by spontaneous pneumothorax and pleural empyema were analyzed. The long course of the disease, the extent and progression of tuberculous and purulent processes in the lung and pleura caused its grave condition of patients and lower functional parameters of respiration and cardiac performance. After 2-4-month comprehensive preoperative preparation, pulmonectomy and pleuropulmonectomy were made in 78.7% of the patients after stabilization of their pulmonary and pleural process and in 21.3% of the patients in the active phase of the disease. Good results of treatment were achieved in 70.7% of the patients, death occurred in 18.6%. In the late postoperative period among 60 patients, clinical cure was noted in 80% and death rates were 13.3%.
分析了75例播散性破坏性肺结核合并自发性气胸和胸膜脓胸患者行肺切除术的结果。病程长，肺和胸膜结核及化脓性病变的范围和进展导致患者病情严重，呼吸和心脏功能参数降低。经过2 - 4个月的综合术前准备，78.7%的患者在肺和胸膜病变稳定后行肺切除术和胸膜肺切除术，21.3%的患者在疾病活动期进行手术。70.7%的患者治疗效果良好，18.6%的患者死亡。术后晚期，60例患者中80%临床治愈，死亡率为13.3%。
