[Optimization of surgical treatment for drug-resistant respiratory tuberculosis].
Two hundred and five patients with multidrug-resistant Mycobacterium tuberculosis were surgically treated. The immediate efficiency of surgical treatment was achieved in 93.2% of the patients operated on. Postoperative complications were observed in 25.9%. Among them, there was a preponderance of severe pleural and pulmonary complications that caused death in 2.9% of those operated on. In the late period, the efficiency of the complex treatment was 64.3%, death associated with progressive tuberculosis occurred in 14.4% of patients. The author proposes a procedure for selecting patients with multidrug-resistance for surgical treatment via computer monitoring, specifies indications for their surgical treatment, and offers ways of preventing postoperative complications.
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Garifullin
D000293:Adolescent; D000328:Adult; D024881:Drug Resistance, Bacterial; D005260:Female; D006801:Humans; D008168:Lung / Q000503:physiopathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014397:Tuberculosis, Pulmonary / Q000145:classification / Q000503:physiopathology* / Q000601:surgery*