Abstract
The histories and the results and complications of therapy in twelve cases of pulmonary tuberculosis treated with pneumoperitoneum and phrenic paralysis were tabulated and discussed: 1. Of these, six were far advanced cases of pulmonary tuberculosis and six moderately advanced. 2. The results were excellent in 7 (58 per cent); fair in 3 (25 per cent) and poor in 2 (17 per cent). 3. Cavities in the upper thirds of the lung fields were closed in 9 out of 11 cases. 4. In 8 out of 9 cases thoracoplasties were avoided by the use of pneumoperitoneum with hemi-diaphragmatic paralysis. 5. It was suggested that the estimation of diaphragmatic elevation and the volume of lung collapsed should be based on lateral as well as postero-anterior roentgenologic examination of the chest. 6. Pneumoperitoneum alone does not result in effective diaphragmatic elevation; it should be used with phrenic interruption to obtain the greatest benefits.
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