[The role of surgeon in treatment of chronic respiratory failure after pulmonary tuberculosis operations].
We analyzed pulmonary functions and rib cage-phrenic motions on 296 cases of chronic empyema patients who had surgical treatment. Pulmonary functions were better preserved in patients with a single step than in those with multi-step operations, and in those who had more than five operations the impairment was inevitable. Both %VC and rib cage-phrenic motions improved by decortication, and by air-plombage, but in those who developed multi-rib fractures after the latter procedure, ipsilateral chest wall motion almost disappeared. Since some restriction of rib cage-phrenic motion is inevitable after the surgery, we have developed a cuirass respirator which can synchronize with the respiration to assist the movement of the chest wall. The results attained so far are satisfactory.
Kawarasaki
S
S
Department of Surgery, Kishiwada City Hospital, Osaka, Japan.
Mizuno
H
H
Shindo
T
T
Chihara
K
K
Aoki
M
M
Tamura
K
K
Wada
H
H
Hitomi
S
S
Nakamura
T
T
Shimizu
Y
Y
D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010819:Physician's Role; D011183:Postoperative Complications / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000628:therapy*; D014397:Tuberculosis, Pulmonary / Q000601:surgery*; D012122:Ventilators, Mechanical