[Surgical treatment for destructive pulmonary tuberculosis complicated by spontaneous pneumothorax and pleural empyema].

The results of surgical treatment were analyzed in 205 patients with destructive pulmonary tuberculosis complicated by spontaneous pneumothorax and pleural empyema. The long-term course, extent, and activity of a tuberculous and purulent process in the lung and pleura determined the patients' severe condition and low respiration and cardiac function parameters. After complex preoperative preparation during 3-4 months, surgical treatment was performed in 84.9% of the patients after stabilization of a pneumopleural process and an intervention was made in 15.1% in the active phase of the disease. A good immediate efficiency was stated in 80% of the patients with this pathology, of them this was observed in 70.4% after pulmonectomy and pleuropulmonectomy, in 88.1% after pleurectomy and partial lung resection, and in 89.6 following thoracomyoplasty. The overall hospital mortality was 11.7%.