Place of pneumo-peritoneum with or without phrenic paralysis in the treatment of pulmonary tuberculosis
Shivpuri, D.N. (1959) Place of pneumo-peritoneum with or without phrenic paralysis in the treatment of pulmonary tuberculosis. Indian Journal of Tuberculosis, 6 (4). pp. 133-141.
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55 cases of Pulmonary tuberculosis were studied in Old Delhi T.B. Clinic from 6 to 48 months. They received a very short course of chemotherapy (6 to 10 weeks) and later, pneumo-peritoneum with or without temporary phrenic paralysis. They were given ambulatory treatment after the control of fever and were treated from out-patient department. Two had minimal, 12 had moderately advanced and 36 had far advanced tuberculosis and about 90% had cavities. Final results were satisfactory in 48% (arrested and quiescent). Analysis of the results showed that frequency of the cavity closure was directly related to degree of the rise of Diaphragm and inversely related to the duration of the disease and size of the cavity, provided, other factors were comparable. Frequency of cavity closure was 28.5 % with Pneumo-peritoneum and 55 % with Pneumo-peritoneum combined with phrenic paralysis. In the latter the rate of cavity closure was 3 times higher in the mid and lower zones than in the upper zone.
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