Adebonojo S A, Adebo O, Osinowo O
J Natl Med Assoc. 1978 Sep;70(9):651-7.
A prospective study of 595 patients treated by the Thoracic Surgical Unit (TSU) at the University College Hospital (UCH), Ibadan between July 1975 and December 1977 was carried out to determine the pattern of thoracic surgical diseases in Nigeria and to prove or disprove the rarity of certain cardiopulmonary diseases in tropical Africa. This review shows that pyogenic infections of the lung and pleura constitute the largest percentage (38.5) of the thoracic surgical diseases in Nigeria. Although pulmonary tuberculosis accounts for only 23.4 percent of our total inpatient load, it constitutes about 60 percent of our outpatient clinic practice. Cardiovascular diseases form 12.9 percent, notably congenital and acquired valvular heart diseases. An interesting finding was the occasional association of pyomyositis with pyogenic pericarditis and empyema thoracis. This triad is being investigated. Chest trauma was the most common thoracic surgical emergency accounting for 9.2 percent of the total thoracic surgical pathology. The most common causes of dysphagia are strictures from corrosive esophagitis, achalasia, and carcinoma of the esophagus. Present experience confirms the rarity of hiatus hernia, reflux esophagitis, atherosclerotic cardiovascular disease, and, perhaps, carcinoma of the lung among Nigerians.
1975年7月至1977年12月期间，对伊巴丹大学学院医院胸外科治疗的595例患者进行了一项前瞻性研究，以确定尼日利亚胸外科疾病的模式，并证实或反驳热带非洲某些心肺疾病的罕见性。该综述表明，肺和胸膜的化脓性感染在尼日利亚胸外科疾病中占比最大（38.5%）。虽然肺结核仅占我们住院患者总数的23.4%，但在我们的门诊实践中约占60%。心血管疾病占12.9%，尤其是先天性和后天性瓣膜性心脏病。一个有趣的发现是脓性肌炎偶尔与化脓性心包炎和脓胸相关。正在对这三者进行调查。胸部创伤是最常见的胸外科急症，占胸外科病理总数的9.2%。吞咽困难最常见的原因是腐蚀性食管炎、贲门失弛缓症和食管癌导致的狭窄。目前的经验证实，尼日利亚人食管裂孔疝、反流性食管炎、动脉粥样硬化性心血管疾病以及肺癌可能较为罕见。
