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[人工气胸在毁损性肺结核联合治疗中的应用]

[Artificial pneumothorax in the combined therapy of destructive pulmonary tuberculosis].

作者信息

Andrenko A A, Fedorova M V, Grishchenko N G, Tadzhieva N V

出版信息

Probl Tuberk. 1995(1):43-5.

PMID:7761382
Abstract

44 patients with destructive pulmonary tuberculosis received chemotherapy (intermittent antibacterial drugs, i.v. isoniazid) and artificial pneumothopax (AP). 42 patients had infiltrative disease (destructive in 15, disseminated in 27 cases). Discharge of the bacilli occurred in 95.4%. AP application was followed by thoracocautery in 3-4 weeks to form appropriate collapse of the affected lung portions. Short adhesions were burnt, plane ones were extrapleurally detached according to the technique developed in the Novosibirsk Research Institute of Tuberculosis. A complete correction of pneumothorax was achieved in 43 patients. Neither intra- nor postoperative complications were reported. The discharge stopped in 100%, the caverns closed in 93.1% of the cases.

摘要

44例毁损型肺结核患者接受了化疗(间歇性抗菌药物,静脉注射异烟肼)和人工气胸(AP)治疗。42例患者患有浸润性疾病(15例为毁损型,27例为播散型)。95.4%的患者痰菌转阴。在AP治疗3 - 4周后进行胸廓烧灼术,以使患肺部分适当萎陷。根据新西伯利亚结核病研究所研发的技术,烧灼短粘连,在胸膜外分离平面粘连。43例患者气胸得到完全纠正。未报告术中及术后并发症。100%的患者痰菌停止排出,93.1%的病例空洞闭合。

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