Surgical Treatment for The far Pulmonary Tuberculosis

Kim, JIn Sik

doi:1959.0.7.33

Tuberc Respir Dis > Issue 7; 1959 > Article

Original Article

Tuberculosis and Respiratory Diseases 1959;7:33-37.
DOI: https://doi.org/10.4046/trd.1959.7.1.33 Published online December 1, 1959.

Surgical Treatment for The far Pulmonary Tuberculosis

JIn Sik Kim

Department of Surgery, Pusan National University College of Medicine, korea

중증폐결핵의 외과적요법에 대한 고찰

김진식

Abstract

Though the effects of the nummerous antituberous drugs for early pulmonary tuberculosis and the adequate surgical treatment for the pulm. Tubercurous patients have marked a great epoch in recent year, still another problems associated with the increase of the far advanced pulm. Tuberculosis which do not respond for drug therapy due to the occurane of resistant strain. postope rative complications and depression of the cardiorespiratory function are we faced with. The author examined the results of Chemotherapy and surgical treatment for 82 cases of the far advanced pulm. tuberculosis and following observations have been made. 1. Recently it is a noteworthy thing that the far advanced pulm. Tuberculosis tend to increase due to the inadequate and interrupted long term Chemotherapy. These are almost the drug resistant cases which have persistent positive sputum. 2. Thc criteria of the surgical treatment for such far advanced cases is the prevention of post-operative complication and the study of cardio-respirators function. 3. The thoracoplasty for these far advanced cases should bc reconcidered from the point of view of cardio-respiratory function. 4. Thc pneumonectomy is concidered as an operation of choice for these far advanced cases than the lobectomy combined with segmental resection.

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