What kind of tuberculosis cavity is not suitable for pneumonectomy

summary

My uncle's health has not been very good, but one day he vomited blood. After going to the hospital for examination, he learned that it was caused by tuberculosis and needed pneumonectomy. Today, let me talk about which kind of tuberculosis cavity is not suitable for pneumonectomy.

What kind of tuberculosis cavity is not suitable for pneumonectomy

First, it is suitable for caseous tuberculous lesions to dissolve and liquefy and then excrete through bronchus to form cavities. Pulmonary resection should be considered as early as possible if it is not closed for a long time after regular medical treatment, especially the persistent positive sputum bacteria, the thick walled cavity with thick fibrous tissue around, the tension cavity with bronchial lesions and poor drainage, the huge cavity with a diameter of more than 3cm, and the cavity in the lower lobe or near the hilum that can not be effectively treated by collapse surgery. This is a positive preventive significance to eliminate the source of infection and prevent the spread of tuberculosis.

Second, pneumonectomy is not suitable for the lower lobe cavity of tuberculosis, but for one lobe or one side of the lung with extensive fibrocaseous lesions, often accompanied by tuberculous bronchiectasis and scattered multiple small cavities. This lobe or side of the lung has basically lost respiratory function, phlegm, hemoptysis and long-term sputum bacteria positive. If there is no obvious active tuberculosis in the contralateral lung, pulmonary function and general condition permit, lobectomy or unilateral pneumonectomy should be performed according to the extent of the lesion.

Third: it can also be applied to tuberculous bronchiectasis or stenosis, which is the sequela of endobronchial tuberculosis. If repeated hemoptysis, sputum positive or atelectasis occurs, the diseased lung should be resected. If the diameter is greater than 2. 5 cm, can not rule out lung tumor, or sputum positive, should be surgical treatment. Patients with small diameter, asymptomatic, sputum negative and conditional regular follow-up examination do not need surgery.

matters needing attention

When tuberculosis is found, we should pay attention to avoid infection, and actively carry out regular anti nuclear treatment. At the same time, we should pay attention to nursing work after operation, pay attention to hygiene and do a good job of protection according to the doctor's advice.