TY - JOUR T1 - Fibrous cavernous pulmonary tuberculosis (FCT) complicated by spontaneous pneumothorax (SP) JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p457 AU - Kazim Mukhamedov AU - Avazbek Muzrabekov AU - Sherali Massavirov AU - Fazilat Ismailova AU - Nurali Djurayev Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p457.abstract N2 - We underwent the treatment of SP clinical course that complicate FCT to 233 patients. Men were 205, women were - 17 at the age 18-72 yr. 121 patients were referred by antituberculous dispensaries, 31 from other TB clinics, 18 from general medical network (GMN), 37 from penitentiary system, 15 went to clinics themselves. Duration of tuberculosis (TB) fluctuated from 1 year to 16 years. MBT were revealed in 90,6% patients. 33 patients were admitted to clinic within 1-7 days with onset of SP process, 190 patients in more late terms (from 15 days to more than 1 month). Before admitting to clinic 134 patients had been made punctures and drainage of pleural cavity (PC). 139 patients were admitted with complicated pleura empyema, 84 - had a mild favorable SP process. The treatment started with puncture and drainage of PC. Polychemotherapy was made in standard regime and by broad-spectrum antibiotics when indicated as well as correction of dysproteinemia and hypovitaminosis, oxygen-soda and ionic condition. Surgically approaches were used just in 5 patients with good effect. Segmental pulmonary resection was performed to 1, pneumectomy-1, bullectomy-1, and pleurectomy-2.Clinical convalescence was reached in 32, improvement in 86, no changes in 46, and impairment in 3. Lethality was in 25, 1% cases.Conclusion: SP problem under FCT is urgent. The search of new ways for more effective diagnostics and treatment to this severe group of patients is needed. At present time, the causes of poor surgical activity are mostly related with large spread and TB process activity, of phthisysurgeons and anesthesiologists being overcareful and lack of qualification as well as good equipment of surgical services. ER -