高年肺結核患者に対する外科療法の検討

概要

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This study was made to clarify the result of surgical treatment for pulmonary tuberculosis and the factors influencing it in the aged patients through its successful rate and the mortality rate. The materials of this study consisted of 5, 508 cases who had undergone operation in 1963and 1964 at 46 institutions belonging to the Tuberculosis Research Committee (RYOKEN) and had been observed for the period of at least 8 months postoperatively. They were divided into three age groups, that is, higher age group (over 50 years old), middle age group (from 30 to 49 years old) and younger age group (below 29 years old). In this study, the cases with negative sputum who had already returned to work during the follow-up period were defined as successful cases I, arid the cases with negative sputum as successful cases II. The mortality rate was calculated for cases, whose death related to operation and tuberculous worsening, and death was divided into the following three groups; the operation death (within 48 hours postoperatively), the early death (within 2 months postoperatively) and the late death (more than 2 months postoperatively). The majority of successful cases II were occupied by the cases with negative sputum and %VC over 40.
日本結核病学会の論文