tailieunhanh - Bronchography in Pulmonary Tuberculosis

The majority, 160 () of the subjects had been working in their units for more than two years while 64 () had not spent up to one year in their various units. Most 254 () reported negative history of chronic cough while a higher percentage 257 () denied any history of smoking. In relation to alcohol consumption, 44 () gave history of alcohol intake, the majority 208 () gave a negative history while 19 () did not give any definite answer. Eleven () subjects agreed to recently have contact with patients with chronic cough, 178 () gave negative response while 82 () did not answer the question. Concerning previous history of tuberculin skin. | Bronchography in Pulmonary Tuberculosis PAUL RABINOWITZ . . and IAN s. H. HARPER MD. Hamilton Ontario The recognition of tuberculous bronchitis as a clinical entity has been of practical importance to the chest man. The presence of this complication in the main or lobar bronchi is known to be associated with interference with the normal physiological function and may be aggravated by any form of collapse therapy. Thus bronchoscopy is being extensively used in sanatoria. One of the most important lessons learned from this complication is that once tuberculous bronchitis has been established particularly as an extensive lesion it may be a source of positive sputum. This is of particular significance in cases where there are no demonstrable lesions in the pulmonary parenchyma and also in cases where the lesions appear controlled but sputum remains positive. The following case illustrates this point . male aged 31 years was admitted to Mountain Sanatorium in August 1936 because of positive sputum. His history of illness dated back to 1920 when he was a patient in a California Sanatorium for 10 months for an upper lobe lesion. He was treated by bed rest only. In 1934 a specimen of sputum was found positive but because of doubtful activity in the right upper lobe he was discharged after five months with a negative sputum. On his admission to the Mountain Sanatorium in 1936 the lesion in the upper lobe remained unchanged and was considered inactive but because of persistently positive sputum right pneumothorax was started soon after admission and right pneumolysis carried out in February 1937. Shortly after the latter procedure he developed a persistent wheeze. During the night of March 8 1937 he had a fatal hemorrhage. Postmortem examination showed tuberculous ulceration of the lower part of the trachea of the right main and right upper lobe bronchi. The ulceration in the upper bronchus led to perforation of the right pulmonary artery. Sections of the upper

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