肺全切除術の治療成績

概要

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In order to clarity the results of pneumonectomy in Japan and to find out how to improve the results, the co-operative follow-up studies were carried out on the 550 cases who received pneumonectomy during 3 year period from 1961 to 1963, and were followed-up at least 8 months post-operatively in 50 sanatoria and hospitals belonging to the Tuberculosis Research Committee (Ryoken).<BR>The rate of success (the rate of the persons who were working with negative sputum after operation among all cases) was 75%, and the post-operative mortality rate excluding the cases who died from non-tuberculous disease later than two months after operation was 7%. The factors reducing the rate of success were low pulmonary function and preoperative posit ive sputum. The result was the worst when both these factors coexisted together in a person. Therefore, in order to improve the result of pneumonectomy, efforts must be made to convert sputum negative before operation.<BR>Moreover, as the po s t -operative deaths were most frequently caused by bleeding or pulmonary dysfunction, it is desired to keep patients under good management during and after operation.
日本結核病学会の論文