肺結核―これからの治療体系

概要

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In accordance with the advances in phthisiology, the epidemiological situation of tuberculosis has been improving markedly in the recent years. Various problems, however, remained still unsolved from the view point of clinicians dealing not with tuberculosis itself but with tuberculosis patients.<BR>The aim of treatment for tuberculosis patients must be focused not only on the negative conversion of tubercle bacilli and the prolongation of life, but also on the social rehabilitation of the patients. Reasessment must be made on the collapse therapy which sacrificed the pulmonary function and the longterm rest therapy which ruined the psychological function of the patients.<BR>In the future tuberculosis hospitals, the sufficient facilities for the diagnosis and the treatment of tuberculous as well as non-tuberculous complications threatening the life of tuberculosis patients should be provided. For this purpose, tuberculosis sanatoria must be changed to chest hospitals or chronic diseases hospitals. Furthermore, it is necessary to discharge inpatients earlier and to continue on home treatment at the out-patient clinics under the close cooperation between hospitals and clinics.
日本結核病学会の論文