Assuntos
Cuidados Pré-Operatórios/métodos , Tuberculose Pulmonar/cirurgia , Adjuvantes Imunológicos/uso terapêutico , Antituberculosos/administração & dosagem , Terapia Combinada , Drenagem , Humanos , Masculino , Pessoa de Meia-Idade , Peptídeos/uso terapêutico , Pneumonectomia , Extratos do Timo/uso terapêutico , Fatores de TempoRESUMO
The many-year practice of surgical treatment of 488 children and adolescents (aged 6 months to 17 years) suffering from tuberculosis of the lungs, pleura, intrathoracic and other groups of lymph nodes and other concurrent pulmonary diseases is summarized. Considerable attention is attached to the clinical aspects of complicated and disseminated forms of diseases, indications for surgery with consideration of the changed course of a process during modern surgery. Morphologic and microbiological findings of the material obtained during surgery are given. The results of surgical treatment are provided whose efficiency in various forms reaches 100%. The postoperative clinical cure of tuberculosis is achieved in 98% of the cases, the mortality is 0.43%, as evidenced by long-term observations.