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耐药肺结核病的外科治疗(附40例报告)
引用本文:谈彬庸,周晓明.耐药肺结核病的外科治疗(附40例报告)[J].中国防痨通讯,1996(2).
作者姓名:谈彬庸  周晓明
作者单位:上海市第一肺科医院
摘    要:40例耐药肺结核病人,经肺切除或附加胸廓成形术治疗。病变以空洞和肺毁损为主。二药以上耐药率87.5%,对RFP的耐药率80%。半数以上病人合并对侧肺病灶。手术并发率15%,其中脓胸瘘管并发率7.5%。术后痰菌阴转率87.5%,无手术死亡。出院随访35例,34例痰菌复查阴性,20例恢复正常工作。

关 键 词:结核,肺/外科手术

Surgical Treatment of Drug-Resistant Pulmonary Tuberculosis
Tan Binyon, Zhou Xiaomingg..Surgical Treatment of Drug-Resistant Pulmonary Tuberculosis[J].The Journal of The Chinese Antituberculosis Association,1996(2).
Authors:Tan Binyon  Zhou Xiaomingg
Institution:Shanghai First Pulmonology Hospital 200433
Abstract:Forty patients with drug-resistant pulmonary tuberculosis were treated surgically either by resection alone or with auxillary thracoplasty. Most of the lesions were cavities and destroyed lungs 87.5% of cases were resistant to more than two drugs and 80.0% were resistant to rifampicin. over half of the cases had also contralateral pulmonary tuberculous lesions. Surgical complication rate was 15.0%in which 7.5%were empyema or empyema with fistula formation. Post-operatively, sputum negative conversion rate was 87.5%. No surgical mortality occured. 35 cases were followed up after surgery, 34 with negative sputum and 20 regained normal work.
Keywords:tuberculosis  pulmonary/surgery  
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