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[Long-term study of patients with sequelae of pulmonary tuberculosis after pneumonectomy--obstructive impairment and its causes].

Abstract
Changes in pulmonary function, chest X-ray films, and CT were retrospectively studied in patients with sequeae of pulmonary tuberculosis 30 years after pneumonectomy (PNX). Over more than 10 years, VC and FEV1% changed at a rate of 23.2 +/- 8.8 ml and 0.683 +/- 0.688% per year, respectively. In the patients studied 30 years after PNX (N = 30), VC was 900 +/- 210 ml, %VC 31.6 +/- 8.1%, and FEV1% was 67.2 +/- 6.8%. About half of these patients had mild airway obstruction. FEV1% was negatively related to the distance from the hilum to the diaphragm on the mid-clavicular line (on the chest films) divided by body height (r = -0.607). Therefore, we think that the airway obstruction may be due to overextension of the bronchi of middle and lower lobes. Emphysema was not found in 18 patients who had no sign of hyperinflation or herniation of the remaining lung to the PNX side on their CT, but it was found in one patient with these signs.
AuthorsC Zhou, N Nagayama, Y Ohtsuka, H Nagai, Y Kawabe, K Machida, K Sato, Y Sagara
JournalNihon Kyobu Shikkan Gakkai zasshi (Nihon Kyobu Shikkan Gakkai Zasshi) Vol. 33 Issue 4 Pg. 416-21 (Apr 1995) ISSN: 0301-1542 [Print] Japan
PMID7791270 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Lung Diseases, Obstructive (etiology)
  • Male
  • Middle Aged
  • Pneumonectomy
  • Radiography, Thoracic
  • Respiratory Function Tests
  • Retrospective Studies
  • Time Factors
  • Tuberculosis, Pulmonary (physiopathology, surgery)

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