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KMID : 0364019910240101011
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 10 p.1011 ~ p.1018
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Pulmonary Aspergilloma Associated Pulmonary Tuberculosis
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심성보/Sim, Sung Bo
김욱진/김병석/장동철/김범식/Kim, Oug Jin/Kim, Byung Seok/Jang, Dong Cheol/Kim, Bum Shik
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Abstract
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From September, 1985 to March, 1991, 33 patients under went thoracotomy for treatment of pulmonary aspergilloma with Pulmonary tuberculosis on the department of Thoracic and Cardiovascular Surgery, National Kongju Hospital.
1. There were 25 male and 8 female patients ranging from 19 to 57 years old (mean age, 36.2 years).
2. Hemoptysis was the most common symptom (recurrent minor hemoptysis : 24cases, severe hemoptysis (200cc /day) : 4 case:, massive hemoptysis (600 /day) : 4 cases).
3. In the chest X-ray films, intracavity fungus balls (air miniscus sign) were noted in 20 cases (61%) and upper lobe involvements were 29 cases (88%).
4. All cases had a history of treatment with antituberculosis drugs under diagnosis of pulmonary tuberculosis for an average of 10 years and 2 months.
5. The most common indication for operation was hemoptysis (32 cases) hemoptysis i with total destroyed lung or lobe : 12cases, hemoptysis with open AFB (+) cavity : 6cases, recurrent or massive hemoptysis : 14 cases.
6. The operative procedures was as follows--- lobectomy : 16 cases, pneumonectomy : 8 cases, bilobectomy, segmentectomy, cavernoplasty and lobectomy with segmentectomy each 2 cases, lobectomuy with cavernoplasty : 1 case.
7. 6 complications appeared postoperatively which included empyema with BPF (2 cases), empyema (2 cases) and wound infection (2 cases).
In conclusion, surgical resction is the treatment of choice in the management of pulmonary aspergilloma associated pulmonary tuberculosis.
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