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A.F. FOSTER-CARTER, D.M. (OXON)  Diseases of the Chest 

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Presentation on theme: "A.F. FOSTER-CARTER, D.M. (OXON)  Diseases of the Chest "— Presentation transcript:

1 Artificial Pneumothorax as an Aid to Chemotherapy in the Treatment of Pulmonary Tuberculosis*  
A.F. FOSTER-CARTER, D.M. (OXON)  Diseases of the Chest  Volume 33, Issue 4, Pages (April 1958) DOI: /chest Copyright © 1958 The American College of Chest Physicians Terms and Conditions

2 FIGURE 1 Graph showing the percentage of patients discharged from the Brompton Hospital Sanatorium during the past six years who had unilateral A. P. treatment. Continuous line: A. P. maintained. Dotted line: A. P. attempted (see Table I). Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

3 FIGURE 2 Graph showing the various forms of treatment undergone by patients discharged from the Brompton Hospital Sanatorium during the past six years (see Table I). Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

4 FIGURE 3 Survival of 442 unilateral A. P. cases before chemotherapy. Satisfactory— Free lung from start of A. P. or after adhesion section; cavities closed. Adherent-Satisfactory—Adhesions over diseased area which were not divided but cavities closed. Adherent-Unsatisfactory—Adhesions over diseased area but cavities did not close. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

5 FIGURE 4 Man aged 29. Infiltration and a cavity in right in upper lobe. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

6 FIGURE 5 Same patient after three and one-half months' chemotherapy. Cavity smaller but persisting. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

7 FIGURE 6 Same patient after right A. P. Apical adhesions but cavity closed. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

8 FIGURE 7 Woman aged 22. After three months' chemotherapy. Extensive infiltration right middle and lower lobes with a persistent cavity in middle lobe. Patient anxious to avoid operation. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

9 FIGURE 8 Same patient two months later after right A.P.
Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

10 FIGURE 9 Man aged 33. After six months' chemotherapy. Sputum positive. Infiltration right upper lobe with cavity. Collapse and consolidation with cavitation left upper lobe and infiltration with small cavity in apex of left lower lobe Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

11 FIGURE 10 same patient after right A. P. Apical adhesions but cavity closed. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

12 FIGURE 11 Same patient after left upper lobectomy. Sputum negative. Disease in left lower lobe healing. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

13 FIGURE 12 Woman aged 32. Right lung immobilised by old thoracoplasty followed by upper lobectomy and post-operative empyema. Cavity in left upper lobe. Sputum positive; unaffected by prolonged chemotherapy (Resistant to SM, INH and PAS). Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions

14 FIGURE Same patient after left A. P. Numerous apical adhesions but cavity closed and sputum negative. Diseases of the Chest  , DOI: ( /chest ) Copyright © 1958 The American College of Chest Physicians Terms and Conditions


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