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結核肺에 實施한 外科的療法 161例

SURGICAL TREATMENT FOR PULMONARY TUBERCULOSIS ON 161 CASES

최신의학 1966년 9권 4호 p.89 ~ 97
李東昱, 劉承華,
소속 상세정보
李東昱 (  ) - 國立 公州病院
劉承華 (  ) - 梨花女子大學校 醫科大學

Abstract


This clinical report is made on 161 cases of surgical treatment of pulmonary tuberculosis from March 1964 to June 1964 at the National Kongjoo Hospital.
1) The prevalent year for surgical treatment is 83 cases of 161 cases on 1963 and more than each other.year.
2) Prevalent age of patient is. second decade and number-of male patient is 141(87.6 %) and 20(12.4 % ) of female.
3) Duration of the diseases before surgical treatment comparatively long, the duration within 1-2 years is 33 cases of all patients and lobectomy is 58 cases of all operation and more than other kind of operation.
4) Chemotherapy before surgical treatment is used on all patients and three primary drugs of 102(63.4 %), and secondary drugs of 12(7.5 %).
5) Sensitive to three primary drugs is 21 cases and resistant of 48 cases to three primary drugs, also, resistant to streptomycin is 122 cases of all patients.
6) Chest X-ray finding before surgical treatment showed cavitary lesion on all patients and bilateral lesion of 86 cases(53.4 %) and unilateral lesion of 75 cases (46.6 % ), also far advanced tuberculosis is 84 cases, (52.2 %) and moderately advanced of 77 cases(47.8 %).
7) Negative conversion for acid fast bacilli in sputum after surgical -treatment i96.4 % of resectional surgery and 96.0 % of thoracoplasty.
8) Complication is 27 cases(16.7 %) of all patients and. bleeding of 9 cases(5.6 %) and resectional surgery of .16 cases(28.0 %) is more than other kind of operation. Also treatment of complication has been done on 24 cases (88.9 %) and no treatment was done on 3 cases. Mortality after surgical treatment is one case of psychosis.

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