关键词: 结核,肺, 外科,手术, 并发症

Abstract: Objective To discuss the causes of postoperative complications of pneumoectomy in pulmonary tuberculosis and drscass how to prevent to reducing the complications rate and improve the cure rate of pulmonary tuberculosis. Methods 69 cases of pneumonectomy in pulmonary tuberculosis have been reviewed including 18 cases with serious complications. Results 4 cases were died,2 died of acute respiratory failure, the rest died of diffuse bleeding in the pleural cavity;65 cases were cured including 5 bronchopleural fistula and 1 contralateral dissemiated and other complications. the complications rate is 26.1%(18/69),the mortality is 5.8%(4/69).Conclusion Pneumonectomy is still one of the effective way to treat the patients with pulmonary tuberculosis, but the operation indicationand operation opportunity should be defined; the result shows that unsatisfactory chemotherapy of pulmonary tuberculosis and wrong operative procedure and post-operation inappropriate management are still main causes to operative complications.

Key words: Tuberculosis, pulmonary/surgery, Operation, Complication