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自1956年初至1957年底共为408例肺结核病人施行了肺切除手术,手术后有13例发生了支气管胸膜痪,发生率是3.2％。这13例发生支气管胸膜痪的情况是:①术前病期都很久,平均为4.7年;②术前链霉素用量都很多,大都超过40克以上;③12例术前痰菌阳性;④病交性质属于纤维空洞型者最多占7例;⑤手术种类以全肺切除术后的发生率最高。以上5点说明病变严重、广泛以及对链霉素产生一定的耐药性,对支气管胸膜痪的发生有很大的关系。13例中9例的肺切除标本曾作病理切片检查,发现8例有支气管残端的内膜结核;切除手术后大都遗留有空腔、残腔、积液或余肺膨胀不良。因此我们认为支气管胸膜痪发生的原因是多方面的:除
From the beginning of 1956 to the end of 1957, a total of 408 pulmonary tuberculosis patients underwent pneumonectomy. Thirteen patients developed bronchopleural disease after surgery, with a rate of 3.2%. The 13 cases of bronchial pleural disease are: ① preoperative period are long, with an average of 4.7 years; ② preoperative streptomycin dosage are many, mostly more than 40 grams; ③ 12 cases of preoperative sputum positive; ④ disease The nature of those who belong to the fibrous cavity type accounted for up to 7 cases; ⑤ surgical types to the highest incidence of pneumonectomy. The above 5 shows that the lesion is severe, extensive, and has some resistance to streptomycin and has a great relationship to the occurrence of bronchopleural paralysis. Of the 13 cases, 9 cases of lung resection specimens were examined by biopsy and found that 8 cases of endometrial tuberculosis with bronchial stump; most of the remaining cavity, residual cavity, effusion or remaining lung dysplasia after resection. Therefore, we think the reasons for the occurrence of bronchial pleuropneumonia are manifold: