Cirugía pulmonar en tuberculosis / Surgery for pulmonary tuberculosis: Review of 33 operated patients
Rev. méd. Chile
; 137(2): 234-239, feb. 2009. tab
Article
em Es
| LILACS
| ID: lil-516088
Biblioteca responsável:
BR1.1
ABSTRACT
Background:
Surgical treatment for pulmonary tuberculosis is mainly ¡imited to the management of sequelae such as bronchiectasis, hemoptysis and brochopleural fistulae.Aim:
To review the data of patients who underwent surgical treatment for pulmonary tuberculosis. Material andmethods:
Retrospective review of 33 patients aged 18 to 73 years (24 males) who underwent lung resection surgery for the management of pulmonary tuberculosis. Follow-up data were obtained from outpatient visit records and registries of the national tuberculosis program.Results:
The reasons to perform surgery were the following fifteen for hemoptysis, nine for lung destruction and nine for an active and multiresistant disease. No patient died in the postoperative period. The morbidity observed included empyema (n =5), pneumothorax (n =2), bronchopleural fístula (n =2) and hemothorax (n =2). At six months offollow up, six of the nine patients with active tuberculosis had negative acid-fast bacilli on sputum smear. Two of these patients died, one due to respiratory failure and another by an unrelated cause. Both dead patients had negative acid-fast bacilli on sputum smear.Conclusions:
Surgery in pulmonary tuberculosis has a high rate of complications butmay be usefulin selected patients.Palavras-chave
Texto completo:
1
Bases de dados:
LILACS
Assunto principal:
Tuberculose Pulmonar
Tipo de estudo:
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Chile