Tuberculosis and Respiratory Diseases
- 제40권6호
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- Pages.725-729
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- 1993
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
공동을 동반한 난치성 폐결핵 환자에서 인공 기흉법으로 치료 성공 1예(II)
A Case of Successful Treatment by Artificial Pneumothorax in Cavitary Pulmonary Tuberculosis with Treatment Failure
- Rhee, Myung-Seon (Department of Chest Medicine, National Medical Center) ;
- Kim, Kyung-Ho (Department of Chest Medicine, National Medical Center) ;
- Cho, Dong-Il (Department of Chest Medicine, National Medical Center) ;
- Rhu, Nam-Soo (Department of Chest Medicine, National Medical Center) ;
- Kim, Jae-Won (Department of Chest Medicine, National Medical Center)
- 발행 : 1993.12.31
초록
환자는 9개월간의 적절한 화학 요법에도 불구하고 지속적으로 균양성인 개방성 공동을 가진 26세의 남자로 좌측 상폐야에 국한된 직격
A case of cavitary pulmonary tuberculosis with persistent positive bacilli due to resistant strain was treated successfully with artificial pneumothorax with antituberculosis chemotherapy. Negative conversion of Tubercle bacilli was noticed by four months on sputum smears and by 11 months on sputum cultures after the starting of artificial pneumothorax. The cavitary lesion was collapsed by 13 months. Artificial pneumothorax is one of the collapse therapies of pulmonary tuberculosis which had been used widely in the early 20th century before the era of antituberculosis chemotherapy. Nowadays, this method is almost neglected due to its inferiority in efficacy as compared to chemotherapy and complications. But we recommend considering this method when no other measure is likely to be useful in open cavitary lesion.