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[人工气胸在进行性双侧毁损性肺结核外科治疗中的应用]

[Artificial pneumothorax in the surgical treatment of progressing bilateral destructive lung tuberculosis].

作者信息

Krasnov V A, Andrenko A A, Beliavskiĭ V E, Grishchenko N G, Paraskun V G

出版信息

Probl Tuberk. 1994(6):31-4.

PMID:7708644
Abstract

23 patients with fibrous-cavernous pulmonary tuberculosis received surgical treatment at the Novosibirsk Research Tuberculosis Treatment Institute. In the contralateral lung all the patients had recent infiltrative lesions with destruction. M. tuberculosis were determined in all the cases. The patients underwent resection of the lung, osteoplastic thoracoplasty, osteoplastic thoracoplasty followed by pulmonary resection, open treatment of the caverns (10, 5, 2, 6 cases, respectively). Therapeutic pneumothorax eliminated destruction in the contralater lung in 18 patients. The other 5 patients achieved stabilization of the specific process in remaining destruction for which they subsequently underwent segmental resection. The cure was documented in all the patients treated.

摘要

23例纤维空洞型肺结核患者在新西伯利亚研究性结核病治疗研究所接受了外科治疗。所有患者对侧肺均有近期浸润性病变并伴有破坏。所有病例均检测出结核分枝杆菌。患者分别接受了肺切除术、骨成形胸廓成形术、骨成形胸廓成形术加肺切除术、空洞开放治疗(分别为10例、5例、2例、6例)。治疗性气胸使18例患者对侧肺的破坏得到消除。另外5例患者残余破坏的特异性病变过程得到稳定,随后接受了节段性切除术。所有接受治疗的患者均被证明治愈。

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