異なつた時代に療養所を退所した肺結核患者の遠隔成績の比較 : 第1報 退所後の状況の比較

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概要

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• The prognosis of pulmonary tuberculo u s patients was very much improved through the development of chemotherapy and surgical treatment. The author compared the late results of sanatorium treatment for pulmonary tuberculous patients discharged from the National Chiba Sanatorium during the period from 1 January 1955 to 31 December 1955 and that from 1 November 1943 to 31 October 1944. The former group (1955 group) composed of 247 cases treated by chemotherapy only or with surgical treatment during admission, and was followed up for 4 years and 11 months to 5 years and 10 months. The latter group (1943 group) composed of 335 cases treated by conservative treatment during admission, and was followed up for about the same period. Inquiry card was mailed to the patients, and after filling the inquiry, the card was sent back to the author. The results obtained were the following:<BR>1. Background factors of both groups were rather different as shown in Tables 1 and 2. Generally speaking, the age of the patients was younger and the admission period was shorter in 1943 group than in 1955 group.<BR>2. In 1955 group, 83.4% were alive, 4.1% were dead and 12.5% were unknown at the time of inquiry, and in 1943 group, corresponding figures were 55.8 %, 31.4 % and 12.8 % respectively. (Table 3)<BR>3. At the time of discharge, culture negative. cases occupied 95.4 % in 1955 group and 26.4% in 1943 group. Comparing the fatality rate by the bacteriological findings at the time of discharge, in 1955 group, the rate was 1.9% in culture negative cases, while in 1943 group, the rate was 100% in smear positive cases, 28.9% in smear negative cases, and 8.7% in culture negative cases. (Table 4)<BR>4. Among cases aliving at the time of inquiry, 92.2 % were healthy in 1955 group and 82.2 % in 1943 group. Even in the latter group, 89.8% were healthy when sputum was culture negative at the time of discharge. (Table 5)<BR>5. Observing the fatality rate by the type of pulmonary lesions at the time of discharge, in 1955group, the rate was 1.3% in resection cases, 5.0%in thoracoplasty cases, 11.8% in infiltrative caseous type, and 0% in fibro-caseous and indurative types, while in 1943 group, the rate was 46.2% in infiltrative caseous type and 1.5% in fibro-caseous type. (Table 6)<BR>6. Comparing the rate of healthy cases to the whole cases aliving at the time of inquiry by the type of pulmonary lesions, in 1955 group, the rate was 93.5% in resection cases, 91.7% in thoracoplasty cases, 91.0% in fibro-caseous type, and 93.4%in infiltrative caseous type, while in 1943 group, the rate was 90.0% in fibro-caseous type and 76.3%in infiltrative caseous type. (Table 7)7. Occupation of the cases work i n g at the time of inquiry was presented in Table 8. The most common occupation was clerk in 1955 group and farmer, fisherman and woodman in 1943 group.

著者

• 佐藤 修

  国立千葉療養所

関連論文

• 46. 化学療法の観点よりみた療養所入所患者の2,3の問題点(第36回千葉医学会総会,第5回千葉県医師会学術大会連合大会演説要旨)
• 異なつた時代に療養所を退所した肺結核患者の遠隔成績の比較 : 第1報 退所後の状況の比較

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