肺結核死亡例の臨床的検討 1984~88年と1989~93年の比較

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タイトル別名
  • Death due to Pulmonary Tuberculosis. A Comparison between 1984-88 and 1989-93.
  • A Comparison between 1984-88 and 1989-93
  • 1984~88年と1989~93年の比較

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Pulmonary tuberculosis (TB) remains the single leading cause of death from any single infectious agent in the world. We reviewed the case records and chest radiographs of patients with pulmonary tuberculosis who died between 1984 and 1993. Of 2333 patients discharged from National Nishi-Niigata Hospital, 86 (3.7%) died during that period. Comparison between the data for 1984-88 and for 1989-93 showed an increase in the number of elderly patients, TB-related deaths, and complication of TB by malignancy. Thirty-nine of the 86 patients died within 2 months of admission: a spread of TB over a wide region and low performance scores were noted in these patients. Multiple-drug-resistant Myocobacterium tuberculosis was often the cause of death. These results encourage us to pursue early detection in elderly people, to improve managment during initial treatment such as with steroids, and to develop new and more effective drugs to treat TB.

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