国立療養所における肺外結核の実態と化学療法(腸結核 結核性腹膜炎について)-国療化研第26次B研究報告-

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概要

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• Out of 741 cases, admitted to the 39 institutions of national sanatoria, in which the clinical individual cards were available, 66 cases (8.9%) were intestinal tuberculosis and tuberculous peritonitis during the past five years (1978-1982).<BR>Among 66 cases of both diseases, 48 cases with averaged 43.7 years, 32 males and 16 females, were intestinal tuberculosis and 18 cases with averaged 46.7 years, 3 males and 15 females, were tuberculous peritonitis.<BR>Forty-five (93.8%) of the 48 intestinal tuberculous cases were associated with pulmonary tuberculosis, but in the 18 cases with tuberculous peritonitis, only 8 (44.4%) were associated cases.<BR>The therapeutic effects of the regimens including RFP and INH for intestinal tuberculosis and tuberculous peritonitis were observed.<BR>Response to these treatment is evaluated as effective except some aggravating cases, for intestinal tuberculosis without association of pulmonary tuberculosis and the optimum duration of chemotherapy is considered to be about twelve months.<BR>In cases associated with pulmonary tuberculosis, however, the duration of chemotherapy should be prolonged to some extent, both in non-operated and operated cases, compared with cases without association.<BR>Chemotherapy of tuberculous peritonitis was continued for 8.0 months in average in cases without association of pulmonary tuberculosis, and associated cases had responded well by continuing of 12.5 months in average.<BR>In operated cases, either with or without association of pulmonary tuberculosis, results of their chemotherapy were shown to be well about in eleven to 15 months in average.<BR>The mortality and morbidity from both diseases are appreciably less than in the prechemotherapy era. But the hospital mortality is still more 16.7 per cent (11 of the 66 cases) in this study.<BR>Therefore, it is emphasized that early diagnosis and intensive chemotherapy at early stage of intestinal tuberculosis and tuberculous peritonitis are necessary andimportant for further improvement of clinical results and decreasing mortality.

• 一般社団法人 日本結核病学会の論文

一般社団法人 日本結核病学会 | 論文

• 秋田県龜田町の結核実態調査-2-
• 秋田県龜田町の結核実態調査-1-
• 非定型抗酸菌排出者の臨床
• 正常人T細胞のE-rosette形成能に及ぼす肺結核患者血清の抑制作用
• 結核病巣内のmononuclear phagocytesの酵素活性,特にβ-galactosidaseおよびnaphthol AS-D acetate esteraseの変動

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