肋膜外剥離術に併発する肺穿孔の臨牀所見
スポンサーリンク
概要
- 論文の詳細を見る
The authors scrutinized the clinical progress of the extrapleural pneumolysis 4-6 years after the operation placing the emphasis on the lung-perforation and discussed in the present paper that the importance of the decision of the indication of this operation and the position occupied by his operation in the treatment of tuberculosis.<BR>The present paper deals with 34 cases of apical invagination by pleural suture, 45 cases of extrapleural lucite plombage and 14 cases of opened pneumolysis.<BR>Lung-perforation were observed in 14 cases of apical invagination by pleural suture, 5 cases of extrapleural lucite plombage and 4 cases of opened pneumolysis. Approximately 50% of the above cases have died, but the rest of them recovered.<BR>All of the cases, in which thoracoplasty was possible after the occurrence of lung-perforation took favorable course.<BR>Such a large number of incidence of lung-perforation among them was considered to be due to inadequate selection of indication of this operation.<BR>The lung-perforation were found started from cavities measuring more than 2 cm in diameter and superficial cavities or lesions. Therefore, utmost care should be taken in deciding its indication. Further, the case should promptly be subjected to other surgical treatment as soon as lung-perforation was found as complication.<BR>Its genuin indication as single operation is relatively narrow, yet it has a wide scope of usefulness for cases possessing bilateral lesions, cases with low respiratory function or cases with poor physical strength, or utilization as a preparatory treatment for other surgical treament or as a tatative treatment in a case in the developing stage.
- 学校法人 昭和大学・昭和医学会の論文