老人肺結核の臨床的考察
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概要
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Studies were carried out on pulmonary tuberculosis among the aged. The following observations were made: 1. Pulmonary tuberculosis among the aged is mostly reactivation of the disease which has remained arrested since its onset in early years; in some cases it has recurred several times since youth. Unless the disease is detected in mass periodic examinations, many patients will not notice its presence in themselves until their disease has become far advanced. Aged patients, therefore, would constitute a source of tuberculous infection in a family, which could be weeded out only by mass periodic examinations. 2. Many aged tuberculous patients have a far advanced disease of mixed type, with cavities with hardened1 walls. Some of them have a disease of infiltrative and caseous type. Majority of them are sputum-positive. Erythrocyte sedimentation is accerelated, breathing capacity of the lungs is reduced and the liver show a high degree of disturbance. 3. The principles that apply to the treatment of adult tuberculous patients may also apply to the treatment of aged tuberculous patients. Chemotherapy has become a mainstay of the treatment. It has been nearly as effective on the fresh lesions of aged patients as on those of adult patients. Long term chemotherapy has had fairly good effect on advanced tuberculosis of mixed type; When surgery is indicated, surgical treatment may be given those aged tuberculous patients with good effect under cover of chemotherapy.
- 千葉大学の論文
- 1959-09-28
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- 老人肺結核の臨床的考察