결핵성 흉막염 환자에 있어서 천자회수와 천자 후 발생되는 합병증과의 관계에 대한 연구 = A Study on the Relationship between Number of Thoracentesis and Complication after Thoracentesis in Tuberculous Pleurisy

다국어 초록 (Multilingual Abstract)

Tuberculous pleurisy is a most common form of extrapulmonary tuberculosis. Thoracentesis can relief the symptom of pleurisy but complcations such as pleural adhesion and pnemothorax may develop after thoracentesis. To evaluate the relationship between number of thoracentesis and complication after thoracentesis in tuberculous pleurisy, we analyzed 87 patients of tuberculous pleurisy who were treated at the department of Internal Medicine, Chung-Ang University Hospital from June, 1984 to August, 1989. The obtained results were as follows. 1) The mean duration of febrile illness was 3.82 days in patients of the single-tap group and 4.74 days in patients of multiple-tap group after thoracentesls. Pneumothorax was developed in 13.0％ of single-tap goup and 18.2％ of multiple-tap group after thoracentesis (p＞0.05). 2) Pleural adhesion after thoracentesis was develped in 51.9％ of single-tap group and 57.6％ of multiple-tap group (p＞0.05). 3) Moderate abhesion was common in single-tap group and mild adhesion was common in multiple-tap group (p＜0.05). 4) The relationship between concentration of protein of pleural fluid and incidence of pleural adhesion showed no significant difference. 5) Between severity of effusion before and after thoracentesis and incidence of pleural adhesion, no statistical significance was observed and pleural adhesion was common in case who had more residual voume within the pleural space after throracentesis without significant difference. These results suggested that the pleural adhesion may occur in relatively large number of patients with tuberculous pleurisy after thoracentesis and the incidence of pleural adhesion was not decreased in the multiple-tap group.