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今日胸外科患者样本中的结核病

[Tuberculosis in a thoracic surgery patient sample today].

作者信息

Plate H, Demischew M, Mokros W

机构信息

Thoraxchirurgische Abteilung im Klinikbereich Vogelsang, Bezirkskrankenhauses, Magdeburg/DDR.

出版信息

Z Erkr Atmungsorgane. 1989;173(3):215-21.

PMID:2623907
Abstract

Between 1977-1988 89 patients had an operation on tuberculosis in our thoracic surgical department. It were 11 preoperatively diagnosed and 76 undiagnosed cases of tuberculosis and 2 infections with nontuberculosis mycobacteria. In cases, where tuberculosis was diagnosed, surgical therapy was only used because of uneffective antituberculotic therapy. Surgical operations are always applied as secondary late measures. We have manly employed limited resections saving parenchyma. The frequency of postoperative complications was 11.2%. An adequate postoperative chemotherapy is obligatory.

摘要

1977年至1988年间,我们胸外科有89例患者接受了结核病手术。其中11例术前被诊断为结核病,76例未被诊断出患有结核病,还有2例感染了非结核分枝杆菌。在确诊为结核病的病例中,仅因抗结核治疗无效才采用手术治疗。手术操作始终作为次要的后期措施。我们主要采用保留实质组织的有限切除术。术后并发症的发生率为11.2%。术后进行充分的化疗是必不可少的。

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