重症肺结核病的外科治疗还是当前复杂而艰巨的问题。这类病变广泛,经反复播散,通气功能遭受重度减退,长期内科药物治疗无效,在外科治疗方面则既不能负担肺切除术,亦不宜施行胸廓成形术等萎陷疗法,因此这种病人的治疗常使医师们颇费踌躇。枝气管切断缝合术的目的主要为阻断病变的引流枝气管,使痰菌转阴,防止其播散。它的技术操作较为简易,对机体的损伤较小,能为一般条件较差的病人所接受。上海市胸科医院自1961年4月至1962年7月间曾对上述类型病例施行各级枝气管切断缝合术共15例。本文对手术的早期结果作 Surgical treatment of severe tuberculosis is still a complicated and arduous issue at present. Such extensive lesions, after repeated dissemination, severe dysfunction of ventilatory function, long-term medical treatment ineffective, surgical treatment can neither afford pneumonectomy, thrombectomy is not appropriate to perform thoracoplasty, so the patient’s Treatment often makes physicians quite hesitant. The main purpose of the branch and tracheostomy suture is to block the drainage branch and trachea of ​​the lesion so that the sputum bacteria turn negative and prevent it from spreading. Its technical operation is relatively simple, less damage to the body, can be accepted by patients with poor general conditions. Shanghai Chest Hospital since April 1961 to July 1962 had performed on all types of cases of bronchial suture at all levels of 15 cases. This article is about the early results of surgery