[Liver function in patients with pulmonary tuberculosis and alcoholism].
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Biomedical subjects
Publications and source records attributed to V S Krut'ko.
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The authors propose a complex method of treatment of patients with freshly detected pulmonary tuberculosis suffering also of chronic alcoholism with inclusion of obligatory detoxication measures and intensive combined chemotherapy in conditions of a routine hospital. Treatment directed to alcohol detoxication and abstinence permitted to carry out prolonged systematic treatment with results analogous to those treated only for tuberculosis. In patients combining tuberculosis and alcoholism bacteria elimination ceased by discharge from the clinic in 87.3 +/- 4.5%, destruction closed in 65 +/- 6.4% of patients.
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Tuberculosis prevalence among alcoholics is high, and pathomorphological and clinical manifestations of the disease are marked. Altogether 84 chronic alcoholics with pulmonary tuberculosis (the 1st group) and 100 tuberculosis non-alcoholic patients (100 controls--the 2nd group) were investigated. X-ray signs of the disease progression, more prevalent changes and more frequent multiple disintegration cavity of larger size are noted in the 1st group. During x-ray investigation of such patients emphasis must be laid on a search for disintegration cavities and bronchogenic dissemination.
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