THE CLINICAL AND PATHOLOGICAL STUDY ON THE CAUSE OF DEATH IN PULMONARY TUBERCULOUS PATIENT

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In recent years, the causes of death in pulmonary tuberculous patients have been changing in accordance with the use of anti-tuberculous chemotherapeutics and the marked developement in tuberculosis control measures. Useful informations on the mothod of treatment for far advanced pulmonary tuberculous patients will be obtained by analysing the causes of death in pulmonary tuberculous patients, and in order to investigate this problem, the authors made, clinical and pathological studies on 45 cases of pulmonary tuberculosis died during the period from January 1957 to December 1962. The results obtained were the following: 1. The average age of death in pulmonary tuberculous patients has become higher in recent years. 2. Extent of pulmonary lesions in died cases was far advanced in 82%, and among them 69% were bacilli positive. 3. In 76% of far advanced cases, death was caused by tuberculous origin, such as chronic respiratory insufficiency, pulmonary edema, hemoptysis and pneumothorax. In the remaining 24% of far advanced cases, death was caused by non-tuberculous diseases developed during the course of treatment, and among them, malignant tumor, apoplexy, pneumonia and infection of urinary tract were frequently observed. 4. Mixed infection of lung, loading on right ventricle and complications in gastrointestinal systme and urinary tract were frequently observed by pathological-anatomical examination. The results mentioned above indicate that the aggravation of pulmonary tuberculosis was still the major cause of death in pulmonary tuberculous patients. But, in accordance with the increase of average age of death in pulmonary tuberculous patients, death caused by nontuberculous complications has been playing more and more important role in the causes of death in pulmonary tuberculous patients in recent years.
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THE CLINICAL AND PATHOLOGICAL STUDY ON THE CAUSE OF DEATH IN PULMONARY TUBERCULOUS PATIENT

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