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KMID : 0383819660130010037
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Tuberculosis and Respiratory Diseases
1966 Volume.13 No. 1 p.37 ~ p.45
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SURGICAL TREATMENT FOR PULMONARY TUBERCULOSIS ON 161 CASES
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이동욱(李東昱)/Tong Wook Lee
유승화(劉承華)/Seung Wha Yoo
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Abstract
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This clinical report is made on 161 cases of surgical treatment of pulmonary
tuberculosis from March 1964 to June 1964 at the National Kongjoo Hospital.
1) The prevalent year for surgical treatment is 83 cases of 161 cases on 1963 and
more than each other year.
2) Prevalent age of patients is second decade and number of male patient is 141(87.6
%) and 20(12.4 %) of female.
3) Duration of the diseases before surgical treatment comparatively long, the duration
within 1-2 years is 33 cases of all patients and lobectomy is 58 cases of all operation
and more than other kind of operation.
4) Chemotherapy before surgical treatment is used on all patients and three primary
drugs of 102(63.4 %), and secondary drugs of 12(7.5 %).
5) Sensitive to three primary drugs is 21 cases and resistant of 48 cases to three
primary drugs, also, resistant to streptomycin is 122 cases of all patients.
6) Chest X-ray finding before surgical treatment showed cavitary lesion on all
patients and bilateral lesion of 86 cases(53.4 %) and unilateral lesion of 75 cases (46.6
%), also far advances tuberculosis is 84 cases(52.2 %) and moderately advanced of 77
cases(47.8 %).
7) Negative conversion for acid fast bacilli in sputum after surgical treatment is 96.4
% of resectional surgery and 96.0 % of thoracoplasty.
8) Complication is 27 cases(16.7 %) of all patients and bleeding of 9 cases(5.6 %) and
resectional surgery of 16 cases(28.0 %) is more than other kind of operation. Also
treatment of complication has been done on 24 cases (88.9 %) and no treatment was
done on 3 cases.
Mortality after surgical treatment is one case of psychosis.
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KEYWORD
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