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[毁损型肺结核的综合治疗]

[Complex treatment of destructive pulmonary tuberculosis].

作者信息

Shul'ga I A, Znosenko V A, Sukhorukova I S, Davydova G N, Surovtseva E Ia, Shlapakova M A, Pelipas I G

出版信息

Probl Tuberk Bolezn Legk. 2003(7):29-31.

PMID:12939873
Abstract

Fifty-five patients with destructive pulmonary tuberculosis were examined. Of them 35 isolated drug-resistant Mycobacterium tuberculosis. Of the 35 patients, 12 were first diagnosed as having pulmonary tuberculosis and 23 had its chronic forms. Due to the complex inpatient treatment involving pneumoperitoneum, in patients with first diagnosed pulmonary tuberculosis, bacterial isolation ceased and decay cavities closed in 100 and 87.5% of cases, respectively. In patients with chronic pulmonary tuberculosis and multidrug-resistant Mycobacterium tuberculosis, bacterial isolation ceased in 10 of the 23 cases and fresh decay cavities closed in 7 patients. The results of the complex treatment for destructive tuberculosis with mycobacterial drug resistance may recommend this treatment modality since the latter is most effective.

摘要

对55例毁损型肺结核患者进行了检查。其中35例分离出耐药结核分枝杆菌。在这35例患者中,12例初诊为肺结核,23例为慢性肺结核。由于对初诊肺结核患者采用了包括气腹术在内的综合住院治疗,细菌分离停止,空洞闭合,分别占病例数的100%和87.5%。在慢性肺结核和耐多药结核分枝杆菌患者中,23例中有10例细菌分离停止,7例新的空洞闭合。对具有分枝杆菌耐药性的毁损型肺结核进行综合治疗的结果可能推荐这种治疗方式,因为后者是最有效的。

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