title: [Management of short-term complications after pneumonectomy for pulmonary tuberculosis].
abstract: OBJECTIVE
  To explore the diagnosis and management of short-term complications after pneumonectomy for pulmonary tuberculosis.
  
  
  METHODS
  The clinical data and management of short-term complications in patients with pulmonary tuberculosis after pneumonectomy were retrospectively reviewed and analyzed.
  
  
  RESULTS
  From September 2000 to September 2010, 206 patients with pulmonary tuberculosis underwent pneumonectomy, of whom 26 experienced complications shortly after the surgery. Postoperative acute type II respiratory failure occurred in 5 within 14 months post-operation, acute respiratory distress syndrome (ARDS) in 2 within 3 months post-operation, chest hemorrhage in 7 within 20 days post-operation, empyema in 8 within 4 years post-operation, and bronchopleural fistula in 4 cases within 50 days post-operation. Of the 7 cases with chest hemorrhage, 2 were cured and 5 dead. All the 8 cases with empyema were cured. Of the patients with bronchopleural fistula, 2 were cured, 1 failed, and 1 was dead.
  
  
  CONCLUSIONS
  Pneumonectomy for pulmonary tuberculosis carries a higher risk of developing serious complications such as chest hemorrhage, acute type II respiratory failure and bronchopleural fistula. Most complications can be managed successfully if diagnosed and treated early.
authors.affiliation: Beijing Research Institute of Tuberculosis and Thoracic Tumors, Chest Surgery Department, Beijing, China.
authors.forename: Zheng
authors.initials: Z
authors.lastname: Hong
authors.forename: Lian-qi
authors.initials: LQ
authors.lastname: Bai
authors.forename: Dong-jie
authors.initials: DJ
authors.lastname: Yan
authors.forename: Chang-fan
authors.initials: CF
authors.lastname: Gong
authors.forename: Zi-kun
authors.initials: ZK
authors.lastname: Liang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D012189:Retrospective Studies; D014397:Tuberculosis, Pulmonary / Q000601:surgery*; D055815:Young Adult