肋膜癒着焼灼術76例の経験

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The authors observed the clinical course of 76 (52 males and 24 females) cases of closed intrapleural pneumolysis who were under the treatment with streptomycinn or the combination of streptomycin and PAS. The present paper briefly reports the results of the above observations.<BR>Since the authors believe in the earl pneumolysis, the pneumolysis were conducted in an earliest possible stage. Consequently, the rate of successful pneumolysis within 3 months was 71.9% while it was only 37.5% after more than 2 years. Only in 15/31 (48.3%) of the total cases, the tubercle bacilli became negative. In approximately 90% of the cases, no postoperative promotion in the sedimentation rate of red blood cells were recognized. In approximately 60%, even postoperative fever was not recognized. Furthermore, in most cases, the fever went down within 3 days. Intrapleural exsudate was observed in 6 cases, but the duration of the intrapleural exsudate was not found constant. In 2 cases, the ex, sudate was drained by thoracoplasty, and in the other cases, by puncture. The etiology of this intrapleural exsudate was considered to be atelectasis. Re-adhesion was observed in 8 cases, 5 of which were due to intrapleural exsudate and the remaining 3 cases were found without intrapleural exsudate,
学校法人昭和大学・昭和医学会の論文