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本文分析上海市8个医院在1946—1955年间以胸廓改形术治疗肺结核445例的结果。445例中有345例在手术前经过了各种疗程的抗菌素及化学疗法;有310例经过气压或萎陷疗法,由于不能控制病灶或促使痰液中结核菌转阴而施行胸改手术。445例的肺部病灶是:227例为单侧性;168例为双侧性,其中29例在手术侧的对侧仍具活动性;手术侧有空洞者338例,无空洞者107例。术前痰液以浓缩法检查254例找到结核菌。340例作了支气管镜检查,58例有不等程度的结核性支气管炎,其中22例支气管结核病灶较为严重。 445例经过一期手术者65例,二期手术者261例,三期手术者119例,共计施行944期手术,每例平均为2.1
This article analyzes the results of 445 cases of pulmonary tuberculosis treated by thoracotoplasty in 8 hospitals in Shanghai from 1946 to 1955. Of the 445 patients, 345 had antibiotic and chemotherapeutic treatments of various courses prior to surgery; 310 experienced pneumothorax after 310 patients underwent bariatric surgery because of inability to control the lesion or promote negative tuberculosis in sputum. Of the 445 lung lesions, 227 were unilateral, 168 were bilateral, and 29 were still active on the contralateral side of the surgery. There were 338 patients with cavities on the surgical side and 107 without cavities. Preoperative sputum to 254 cases of concentrated method to find Mycobacterium tuberculosis. 340 cases were bronchoscopy, 58 cases of tuberculous bronchitis of varying degrees, of which 22 cases of bronchial tuberculosis is more serious. A total of 445 patients underwent 65 procedures in one operation, 261 patients in second operation and 119 patients in three operations. A total of 944 operations were performed, with an average of 2.1