国立療養所における肺外結核の実態と化学療法
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Clinical studies on the actual condition and chemotherapy for extrapulmonary tuberculo sis in the 48 institutions of national sanatoria were carried out as the B series of 26th controlled study of chemotherapy during the past five years (1978-1982).<BR>The number of extrapulmonary tuberculous patients during the above period was 1, 313 which corresponded to 3.09% of total admitted tuberculous patients in the same period.<BR>Out of 741 cases in 39 institutions of national sanatoria, in which the clinical individual cards were available, 248 cases (31.3%) were tuberculous lymphadenitis.<BR>Tuberculous lymphadenitis located most frequently at cervical area, then at hilar, axillar, mediastinal, inguinal and submandibular, etc.<BR>Among 168 cases of tuberculous cervical lymphadenitis, 77 were male and 91 were female, and the average age was 36.7 years old and, 82 cases (48.8%) were complicated with pulmonary tuberculosis and 24 cases (14.3%) also with other extrapulmonary tuberculosis.<BR>The therapeutic effects of the regimens including RFP and INH for tuberculous cervical lymphadenitis were observed.<BR>Response to these treatment is evaluated as excellent with marked regression of the nodes for non-operative cases and the optimum duration of chemotherapy is considered to he about ten months.<BR>Even in operated cases, a good response to chemotherapy was observed. Therefore, it is advisable to give effective therapy containing RFP, INH for about 2 to 3 months preoper atively and 6 to 8 months post operatively.<BR>In cases complicated with pulmonary tuberculosis, however, the duration of chemother apy should be prolonged to some extent both in non-operated and operated cases, compared with cases without complication.<BR>Fifty six cases (male 31, female 25) were hilar lymphnodes tuberculosis and the average age was 4.1 years old.<BR>Chemotherapy containing RFP and INH was continued for 10.4 months in average in cases without complication of pulmonary tuberculosis and for 12.4 months in average in cases complicated with pulmonary tuberculosis.<BR>The results of chemotherapy revealed marked improvement in the majority of cases.
- 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
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