[Spontaneous pneumothorax associated to active pulmonary tuberculosis].

La Prensa medica mexicana Pub Date : 1978-09-01
F Díaz Rojas, H Córdova Gutiérrez, H Aguirre Gas
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Abstract

This paper reviewed 8 cases of spontaneous pneumothorax, associated to pulmonary tuberculosis during a period of time of two years at the A.L.M. General Hospital of Toluca, Mex. The diagnosis was confirmed by clinical picture, radiology and bacteriology studies. Six males and two females proceding of the low class; farmers all of them. Their age ranged between 18 and 35 years. Two of the patients showed cavitary lesions, five had difusse fibrosis of the lung. We analized the clinical manifestations and reviewed the pathogenic mechanisms as well the medical and surgical treatment. No deaths ocurred en this series. We concluded that the direct relation between active pulmonary tuberculosis and spontaneous pneumothorax is not clear, but their association in this serie suggested further studies to stablished this. We emphasized the importance of this complication rare in the world literature.

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自发性气胸与活动性肺结核相关。
本文回顾了墨西哥Toluca A.L.M.总医院两年间8例与肺结核相关的自发性气胸。临床影像学、放射学和细菌学检查证实了诊断。六名男性和两名女性的低级程序;他们都是农民。他们的年龄在18岁到35岁之间。2例出现空腔病变,5例肺弥漫性纤维化。我们对其临床表现进行了分析,并对其发病机制及内科和外科治疗进行了综述。在这个系列中没有人死亡。我们的结论是活动性肺结核和自发性气胸之间的直接关系尚不清楚,但它们在本系列中的关联提示进一步的研究来确定这一点。我们强调了这种并发症在世界文献中罕见的重要性。
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