Adebonojo S A
J Natl Med Assoc. 1979 May;71(5):485-9.
Forty-eight patients with tuberculous pneumothorax treated at the University College Hospital in Ibadan, Nigeria, over a 40-month period were reviewed. This represents 90 percent of all patients admitted with nontraumatic "spontaneous" pneumothorax during the period of survey. This finding shows that pulmonary tuberculosis (still endemic in Nigeria) is the most common cause of spontaneous pneumothorax in Ibadan.Because of delay in presentation, over 70 percent of the patients presented with hydropneumothorax or pyopneumothorax, which tend to prolong the length of intubation days and the period of hospitalization. The most significant factors affecting prognosis are nutritional status of the patient, extent of parenchymal damage, severity of the bronchopleural fistula, and presence of empyema.The goal of therapy had been directed toward prompt intercostal tube drainage, complete evacuation of fluid and pus, improvement in the nutritional status of the patient, and effective chemotherapy. With this approach, open thoracotomy was rarely indicated and decortication was only necessary in five patients. Our results with intercostal tube drainage and chemotherapy alone have been very encouraging.
对尼日利亚伊巴丹大学学院医院在40个月内收治的48例结核性气胸患者进行了回顾性研究。这占调查期间所有非创伤性“自发性”气胸入院患者的90%。这一发现表明，肺结核（在尼日利亚仍为地方病）是伊巴丹自发性气胸最常见的病因。由于就诊延迟，超过70%的患者表现为液气胸或脓气胸，这往往会延长插管天数和住院时间。影响预后的最重要因素是患者的营养状况、实质损害程度、支气管胸膜瘘的严重程度以及脓胸的存在。治疗目标一直是迅速进行肋间插管引流、彻底排出液体和脓液、改善患者营养状况以及进行有效的化疗。采用这种方法，很少需要进行开胸手术，仅5例患者需要进行胸膜剥脱术。我们单独使用肋间插管引流和化疗的结果非常令人鼓舞。
