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KMID : 0364019920250050480
Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 5 p.480 ~ p.493
Surgical Management of Pulmonary Tuberculosis -A Review of 3,566 Cases-



Abstract
Between October 1964 and August 1979, 2,537 patients 2, 537 patients underwent operation for pulmonary disease including tuberculosis at the National Kongju Hospital. Ages at operation ranged from 6.6 to 67.6 years with a mean age of 30.8 years
and
the
male to female ratio was 3.07 : 1. Indications for operation were, respectively, as follows ; destroyed lobe or segment with/without cavity(68.6%), ipsilateral total destroyed lung(14.8%), empyema with/without fistula(6.0%), atelectasis with
bronchostenosis(2.6%), bronchiectasis(2.4%), tuberculoma(1.8%), lung abscess(1.7%), etc. There were 1,416 thoracoplasties(most common), 915 lobectomies, 591 pneumonectomies, etc. 1,073 patients with hemoptysis were found, streaking (23.8%),
mild(42.3%),
moderate(26.6%), severe(3.4%) and massive(3.9%) as the severity. Tuberculosis was the most common cause of sever and massive hemoptysis. Postoperative complications were developed 16.2% of the operated cases, bleeding was the most frequent
complication
found in these cases. The mortality of operation was 8%, the most common cause of death was bleeding also.
KEYWORD
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