[Surgical treatment for destructive pulmonary tuberculosis complicated by spontaneous pneumothorax and pleural empyema].
The results of surgical treatment were analyzed in 205 patients with destructive pulmonary tuberculosis complicated by spontaneous pneumothorax and pleural empyema. The long-term course, extent, and activity of a tuberculous and purulent process in the lung and pleura determined the patients' severe condition and low respiration and cardiac function parameters. After complex preoperative preparation during 3-4 months, surgical treatment was performed in 84.9% of the patients after stabilization of a pneumopleural process and an intervention was made in 15.1% in the active phase of the disease. A good immediate efficiency was stated in 80% of the patients with this pathology, of them this was observed in 70.4% after pulmonectomy and pleuropulmonectomy, in 88.1% after pleurectomy and partial lung resection, and in 89.6 following thoracomyoplasty. The overall hospital mortality was 11.7%.
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Sabirov
D000293:Adolescent; D000328:Adult; D002648:Child; D016724:Empyema, Pleural / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D011030:Pneumothorax / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D013905:Thoracoplasty / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult