Sol e trevas: histórias sociais da tuberculose brasileira

Fernandes, Tania Maria

doi:10.1590/s0104-59702004000300012

Cited by 2 publications

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“…Diagnosis of disease activity in patients with pulmonary tuberculosis (PTB) is based on multiple factors such as clinical status, physical exam, tuberculin test and mainly on the detection of the bacillus in sputum, bronchialveolar lavage, transtracheal aspirate or lung tissue biopsy samples. These factors are supported by others such as sequential changes on chest radiographs and previous history of anti-tuberculosis therapy [1,10].…”

Section: Introductionmentioning

confidence: 70%

Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis

Amorim¹,

Saad²,

Filho³

2013

OJTS

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Objective: To assess preoperative and postoperative spirometry values in patients undergoing lobectomy for sequelae of pulmonary tuberculosis. Method: A total of 20 patients (10 males) with history of treatment for tuberculosis and presenting with symptomatic sequelae (repeat infection or hemoptysis) who sought assistance at the chest surgery outpatient clinic between 11.09.07 and 04.02.10, were selected for the study. Only patients that met theeligibility criteria (symptomatic, submitted to tuberculosis treatment) were included in the study. The age of patients ranged from 15 to 56 years (mean: 35.75 years). The average treatment time for tuberculosis was 6 months and onset of symptoms occurred between 01 and 32 years after treatment. To assess the impact of surgery on the variables VC, FVC, FEV 1 , FEV 1 /FVC, FEF and PEF preoperative values were compared with postoperative values at 1 st , 3 rd , 6 th and 12 th month using the paired t test. The level of significance (α) applied for all tests was 5% where a value of p < 0.05 was considered significant. Results: 11 patients were treated because of recurrent infections and 9 because of haemoptysis. The most common lobectomy was right upper lobectomy (7 patients), followed by left upper lobectomy (6 patients), left lower lobectomy (6 patients), and right middle lobectomy (1 patient). There were no postoperative complications. There was no postoperative mortality. Conclusion: Based on the results of the present study, it can be concluded that, at the 12 th postoperative month, spirometric parameters of patients with tuberculosis sequelae submitted to lobectomy had returned to preoperative levels.

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Section: Introductionmentioning

confidence: 70%

Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis

Amorim¹,

Saad²,

Filho³

2013

OJTS

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“…It is the most common infectious disease in humans 3 , killing nearly three million people worldwide each year 4 . Tuberculosis is perhaps the oldest disease known to mankind, with records of injuries found in vertebrae of mummies from about four thousand years ago 1,[5][6][7][8][9][10] . Modern chemotherapy promoted remarkable reduction of tuberculosis.…”

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confidence: 99%

Avaliação espirométrica de doentes com sequela de tuberculose submetidos à lobectomia

Amorim

Saad²,

Stirbulov³

2013

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar a espirometria no pré e pós-operatório de doentes com sequela de tuberculose, submetidos à lobectomia. MÉTODOS: Foram selecionados 20 doentes, com idade entre 15 e 56 anos, de ambos os sexos, com história pregressa de tratamento de tuberculose, apresentando infecção de repetição ou hemoptises. Foram submetidos à lobectomia pulmonar. O tempo de tratamento da tuberculose foi seis meses e o aparecimento dos sintomas entre um e 32 anos. Foram avaliadas a capacidade vital (CV), a capacidade vital forçada (CVF), o volume expiratório forçado (VEF1), o VEF1/CVF, o fluxo expiratório forçado (FEF) e o pico de fluxo expiratório (PFE) após o primeiro, terceiro e sexto meses em relação ao pré-operatório. O nível de significância (á) aplicado em todos os testes foi 5%, ou seja, considerou-se significativo quando p<0,05. RESULTADOS: As Médias encontradas foram as seguintes: Capacidade Vital (CV) Pré-operatória-2,83 ; 1º PO 2,12; 3º PO 2,31; 6º PO 2,43. Capacidade Vital Forçada (CVF) Pré-operatória- 2,97; 1º PO 2,21; 3º PO 2,35; 6º PO 2,53. Volume Expiratório no 1º Segundo (VEF1) Pré-operatório 2,23; 1º PO 1,75; 3º PO 1,81; 6º PO 1,97. Houve diminuição acentuada das funções respiratórias no primeiro mês de pós-operatório, porém houve melhora dos parâmetros a partir do terceiro mês, com progressivo aumento até o sexto mês de pós-operatório. CONCLUSÃO: Não houve recuperação dos parâmetros espirométricos, comparados aos do pré operatório, após seis meses de pós-operatório nos pacientes com sequela de tuberculose submetidos à lobectomia.

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Sol e trevas: histórias sociais da tuberculose brasileira

Cited by 2 publications

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Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis

Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis

Avaliação espirométrica de doentes com sequela de tuberculose submetidos à lobectomia

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