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September 30, 1944

Artificial Pneumothorax in Pulmonary Tuberculosis Including Its Relationship to the Broader Aspects of Collapse Therapy

JAMA. 1944;126(5):328-329. doi:10.1001/jama.1944.02850400060029

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This book provides a discussion of collapse therapy of pulmonary tuberculosis, with special reference to artificial pneumothorax. The author believes that the old practice of attempting artificial pneumothorax in every case before considering surgery, particularly thoracoplasty, should be abandoned and that persons whose disease is so extensive as to require permanent collapse, those with serious pleural infections and those with bronchial tuberculosis should have extrapleural thoracoplasty performed as the primary procedure.

The author believes there is general agreement on the indications for artificial pneumothorax under the following conditions: (1) patients with disease which continues to progress in spite of the usual care; (2) those with cavities and tubercle bacilli in the sputum which do not come under control promptly by bed rest; (3) extensive disease with cavity which could not be expected to be brought under control by the so-called more conservative methods; (4) those with predominantly exudative disease that

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