Studies on Artificial Pneumothorax in Pulmonary Tuberculosis:(2) Therapeutic and Late-results of Artificial Pneumothorax in Unilateral Pulmonary Tuberculosis
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201 cases that had roentgenographical unilateral pulmonary tuberculosis were treated with artificial pneumothorax therapy. Among those cases, there were 26 cases of which x-ray findings disappeared, 48 cases of which symptoms became tuberculom-form, 9 cases of which x-ray shadows became strand-like, and 73 cases whose x-ray shadows had diminished. These x-ray findings were observed in the course of 12-18 months after the administration of pneumothorax. Small infiltrations (less than 3cm2 in their x-ray picture) were easily arrested and that of over 1/3 of unilateral lung area were not easily arrested. Out of those cases of which x-ray findings disappeared, 58.3% became bccilli negative in sputa. Out of those cases, of which x-ray shadows concentrated, 85.7% became bacilli negative in sputa. Out of those cases, of which x-ray shadows became strand-like, 66.7% became bacilli negative.Late prognosis of the cases whose x-ray findings were improved were followed for 7-18 years. Of the cases of which x-ray shadows concentrated, 64.6% were still alive at the end of the investigation; of the cases of which x-ray shadows disappeared, 73.1% were alive; of the patients whose x-ray shadows transformed into string-form, 77.8% were alive; of the patients whose x-ray shadows decreased, 41.1% were alive at the end of the investigation. Prognosis was extremely poor in the cases, of which x-ray findings remained unchanged. Among the cases, of which x-ray shadows concentrated, 20.8% had relapses or was fatal and 4.2% was treated by thoracoplasty. In these cases, pulmonary-resection seemed to be particularly effective.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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