https://scholars.lib.ntu.edu.tw/handle/123456789/562660
標題: | Tuberculous empyema | 作者: | Bai K.-J. Wu I.-H. Yu M.-C. Chiang I.-H. Chiang C.-Y. Lin T.-P. Lee Y.-C. KWEN-TAY LUH |
關鍵字: | Empyema; Mycobacterium; Tuberculosis | 公開日期: | 1998 | 卷: | 3 | 期: | 4 | 起(迄)頁: | 261-266 | 來源出版物: | Respirology | 摘要: | The clinical courses of 35 tuberculous empyema patients were investigated retrospectively from November 1990 through November 1995. Most patients had nonspecific symptoms and signs but with far-advanced pulmonary parenchymal lesions in their chest roentgenographs. The effusions showed neutrophilic leukocytosis with a 60% positive culture rate for Mycobacterium tuberculosis. Multidrug resistant strains were found in 7 out of 18 cultures. All patients received chemotherapy and eight of them underwent additional surgical management. Twenty-two (62.9%) patients had been treated successfully and one patient is still under treatment. The remaining 12 patients either died during treatment or defaulted; and four (11.4%) of them had died of tuberculosis. We conclude that the treatment outcome of tuberculous empyema is less satisfactory than that of pulmonary tuberculosis, however, modem multidrug chemotherapy with repeated drainage and opportune surgical interventions could be in prospect of successful treatment of tuberculous empyema. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/562660 | ISSN: | 1323-7799 | DOI: | 10.1111/j.1440-1843.1998.tb00132.x | SDG/關鍵字: | tuberculostatic agent; adolescent; adult; aged; article; clinical article; empyema; female; human; male; Mycobacterium tuberculosis; priority journal; thorax radiography; treatment indication; treatment outcome; tuberculosis |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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