結核性膿胸の成因と内科的治療成績

概要

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A retrospective study of causes of tuberculous pleural empyema and outcome of medical treatment was conducted on a total of 237 inpatients treated at this hospital during the period of thirty-five years from 1939 to 1974.<BR>Tuberculous empyema accounted for 1.37 per cent of all hospitalized cases and there is still no tendency to any significant decline in this proportion.<BR>The overall cure rates were 22 per cent by drug therapy and 33 per cent by surgery. Of 148 cases treated by medical treatment alone, the cure rate was 35.8 per cent (53 cases) and this success of medical treatment alone for empyema is noteworthy.<BR>Complete cure by medical treatment was achieved more frequently in those who were younger, whose lesions of pyothorax were circumscribed, who had no pulmonary fistula, who had no or minimal pulmonary lesion and/or who discharged no tubercle bacilli in sputum. In many cases, the improvement of pyothorax was observed in accordance with the amelioration of intrapulmo nary lesions. Cure of empyema by drug therapy occurred within twelve months of treatment in the majority of cured cases.<BR>Although pleural empyema at present is primarily subjected to surgical treatment and high cure rate is obtained by operation, we have to emphasize that the complete cure of pyothorax could be achieved even by medicinal treatment alone in some selected cases.
一般社団法人日本結核病学会の論文