2024-03-28T12:42:33Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00006653
2022-12-15T03:39:58Z
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471:537:568:650
Abdominal Surgery and Development of Pulmonary Tuberculosis
Abdominal Surgery and Development of Pulmonary Tuberculosis
Tsukioka, Kazuharu
53824
Nakamata, Masami
53825
Ohno, Michiko
53826
Hashimoto, Tadashi
53827
We studied the effect of abdominal surgery on the development of pulmonary tuberculosis using 74 patients treated for active pulmonary tuberculosis for the first time. Group I consisted of patients (53) without a history of abdominal surgery, and Group II consisted of patients (21) with a history of abdominal surgery. Group II was divided into those patients (Group IIa, 13 patients) in whom tuberculosis developed within 10 years after surgery and those patients (Group IIb, 8 patients) in whom tuberculosis developed more than 10 years after surgery. A comparison of chest X-rays showed that the extent of lesions was clearly larger (p < 0.05) in Group IIa than in Group I and that Group IIa required more time (p < 0.05) after treatment was begun until bacterial drainage became negative. Group IIb was clearly older (p < 0.05) than Group I, but the group showed no difference from Group I in the extent of lesions in chest X-rays, and the group required less time (p < 0.05) than Group IIa until bacterial drainage became negative. The patients tended to have an underweight build with average degrees of obesity being -7.5% in Group I, -10.9% in Group IIa, and - 6.7% in Group IIb. Total cholesterol was significantly (p < 0.05) lower in Group IIa than in Group I. One reason why pulmonary tuberculosis was more severe in Group IIa than in Groups I and IIb was probably that the patients had fallen to a low nutritional, underweight condition in the 10 years after their operations, though other factors also need to be considered.
departmental bulletin paper
Niigata University School of Medicine
1989-06
application/pdf
Acta medica et biologica
1
37
27
34
Acta medica et biologica
AA00508361
05677734
https://niigata-u.repo.nii.ac.jp/record/6653/files/37(1)_27-34.pdf
eng