結核性膿胸内科治療による治癒例の遠隔成績

概要

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Fifty three patients with tuberculous empyema successfully treated by medical treatment during the period from 1939 to 1974 were followed-up. Out of 53 patients, 47 (88.7%) replied to the questionaire.<BR>The long-term results were “continuously favourable” in 41 (87%) and 6 (13%) relapsed. The criterion of cure of empyema was divided into the following 3 categories; type I with slight pleural adhesion, type II in which the expansion of lung is incomplete but empyema cavity is assumed to be closed as the aspiration of fluid becomes impossible, and type III in which pleural cavity still remains open but fluid becomes clear and its aspiration becomes difficult. Out of 47 patients replied, 20 were type I, 13 were type II and 14 were type III.<BR>The relapse rate was compared according to the types of cure mentioned above. Out of 20 cases with type I, none showed relapse, out of 13 type II, 2 (15%) relapsed and out of 14 type III, 4 (28%) relapsed and among them 1 died. The prognosis of tuberculous empyema successfully cured by medical treatment was, in general, good, but cases showing cure with types II and III should be followed-up for a long term.
日本結核病学会の論文