[Pulmonectomy in disseminated destructive tuberculosis complicated by spontaneous pneumothorax and pleural empyema]

The results of pulmonectomy performed in 75 patients with disseminated destructive pulmonary tuberculosis complicated by spontaneous pneumothorax and pleural empyema were analyzed. The long course of the disease, the extent and progression of tuberculous and purulent processes in the lung and pleura caused its grave condition of patients and lower functional parameters of respiration and cardiac performance. After 2-4-month comprehensive preoperative preparation, pulmonectomy and pleuropulmonectomy were made in 78.7% of the patients after stabilization of their pulmonary and pleural process and in 21.3% of the patients in the active phase of the disease. Good results of treatment were achieved in 70.7% of the patients, death occurred in 18.6%. In the late postoperative period among 60 patients, clinical cure was noted in 80% and death rates were 13.3%.