| Study on the Prevention of Postoperative Compilations for Advanced Pulmonary Tuberculosis |
|
Chong Hyun Kim, Jin Sik Kim |
|
Department of sugery, College of Medicine, Pusan National University, Pusan, Korea |
| 중증폐결핵의 폐절제술후 합병증 예방에 대한 임상학적 검토 |
|
김종헌, 유기찬 |
|
|
|
|
| Abstract |
|
The author studied the pulmonary reparation for advanced pulmonary tuberculosis in CS case and particularly the postoperative complications during the period from April 1960 to March 1962. In foreign countries, although they have good indication for it, it is reported that 10% of complications and 2% of mortality and 1/2 resemt. But in Korea, the most cases of pulmonary tuberculosis, for pulmonary resection had a long history of disease, irregular chemotherapy for long period and extensive lesions which were not good indication. The high rate of complication and death are expected. The major complications postoperatively were the bronehofistula, emphysema and spread. The causes of bracehofistula are those of the pathological changes at the brochial stump, the insufficiency of expansion and the suture material of the bronchial stump. The emphysema were caused by the direct contamination of the plural cavity during operation and secondary infection from the infected operative wound in the chest. On the other hand, as the emergent complication postoperatively, there were bleeding, oliguria, fall of blood persentre and dyspnea. Inthese case, the renal insufficiencies accompanied with oliguria, increased no protein were fatal. The author notieed that the renal insufficiencies were caused by postoperative and anesthetic shock, renal toxin due to PAS and the overloading of blood transfusion, 1. In these cases, the segmentectomy was only 6% and pneumonectomy was 33% which was higher than that of foreign countries. 2.AS postoperative complications, there were 4.4% of bronchofistula, 1.4% of emphysema, 4.4% of poor expansion and 2.9% of spread. 3. The postoperative complications were bleeding, oliguria, fall of blood pressure, respiratory insufficiency and cardiac insufficiency. Among these, twocases were died by acute renal insufficiency. 4. The postoperative critical complications were mostly seen in cases of abnormal E.C.G. and more than 3,000cc of blood transfusion. 5. To prevent the fall of blood pressure postoperatively, as the blood transfusion is used, the special attention should be paid for it. |
|
PDF Links
Full text via DOI
Download Citation
