DIAGNOSIS AND MANAGEMENT OF ENDOBRONCHIAL TUBERCULOSIS

被引：22

作者：

KURASAWA, T

KUZE, F

KAWAI, M

AMITANI, R

MURAYAMA, T

TANAKA, E

SUZUKI, K

KUBO, Y

MATSUI, Y

SATO, A

NIIMI, A

YUBA, Y

机构：

[1] First Department of Internal Medicine, Chest Disease Research Institute, Kyoto University, Kyoto

来源：

INTERNAL MEDICINE | 1992年 / 31卷 / 05期

关键词：

PERSISTENT COUGH ATTACK; POSITIVE OF TUBERCLE BACILLI; BRONCHIAL STENOSIS AND OBSTRUCTION; ANTITUBERCULOUS CHEMOTHERAPY; ATELECTASIS;

D O I：

10.2169/internalmedicine.31.593

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We examined the records of sixty-one patients (17 males and 44 females) with endobronchial tuberculosis (EBTB). Smear tests of acid-fast bacilli were positive in 42 cases and cultures of tubercle bacilli (TB) were positive in 57. The main findings of chest roentgenogram on admission were as follows: no abnormal findings in 8, atelectasis in 30, infiltration in 25, and cavitary lesions in 6. The localization and cross-sectional extension of lesions confirmed bronchoscopically were as follows: trachea in 15, with 3 circular lesions (CLs). Right (R-) main bronchus in 19 with 11 CLs, left (L-) main bronchus in 18 with 11 of CLs, R-truncus intermedius in 14 with 6 of CLs, R-upper lobar bronchus (UB) in 17 with 12 CLs, R-middle lobar bronchus in 14 with 11 of CLs, R-lower lobar bronchus (LB) in 6 with 2 CLs, L-UB in 10 with 7 CLs and L-LB in 3 with 2 CLs. All cases were treated by combination chemotherapy with isoniazid, refampicin, streptomycin and/or ethambutol and the rate of negative conversion of TB was good, but most of circular lesions resulted in severe bronchial stenosis or complete obstruction during and after chemotherapy, and no improvement was seen in any of the atelectasis cases at the cessation of chemotherapy. We discuss the points of early diagnosis and management of EBTB.

引用

页码：593 / 598

页数：6

共 17 条

[1]

The Japan Anti-tuberculosis Association

[2]

Statistics of tuberculosis, (1990)

[3]

Hitomi S., Kuwabara O., Diagnosis and treatment of bronchial lesions of tuberculosis, Kekkaku, 64, (1989)

[4]

Arai T., Bronchoscopic findings of bronchial lesions of tuberculosis, Bronchology, 10, (1988)

[5]

Ono J., Endobronchial tuberculosis, Nihon Kekkaku Rinsho, 11, (1952)

[6]

Samson P.C., Diagnosis, treatment, and prognosis in tuberculous tracheobronchitis, J Thor Surg, 6, (1937)

[7]

Warren W., Hammond A.E., Tuttle W.M., The diagnosis and treatment of tuberculous tracheobronchitis, Am Rev Tuberc, 37, (1938)

[8]

Salkin D., Cadden A.V., Edson R.C., The natural history of tuberculous tracheobronchitis, Am Rev Tuberc, 47, (1943)

[9]

Auerbach O., Tuberculosis of trachea and major bronchi, Am Rev Tuberc, 60, (1949)

[10]

Arai T., Changes by treatment in bronchoscopic findings of bronchial tuberculosis, Bronchology, 9, (1988)

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