病型別に見た肺結核の治療と予後に関する臨床的観察

概要

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The present paper deals with follow up study in 1000 pulmonary tuberculous cases discharged from Chishiroen, National Sanatorium, during the period from 1939 to 1956. The cases were classified into 9 groups, according to the Oka's classification. The results are as follows; 1) It has profound influences on the prognosis, how to select treatments which are indicated to each type of lesions. 2) It is considered that following 5 factors have considerable influences on remote results. a) extents Of lung lesions b) lesion in opposite lung c) cavity d) tuberculous bacilli in sputum after treatments e) duration of treatments Five factors showed desperate contrast to the cases of internal therapy against surgical therapy (especially pulmonary resection). 3) The results of surgical treatments were very good and the cases treated by thorcoplasty did not showed significant differences when compared with pulmonary resection, as far as sufficient chemotherapy and rest therapy were given. 4) Among the internal treatments chemotherapy showed the best results but if its limitation was observed, the therapy should be added any surgical treatment immediately.
千葉大学の論文
1958-05-28