The thoracic surgical spectrum of acquired immune deficiency syndrome.

摘要: The acquired immune deficiency syndrome has presented a complex and, as yet, unsolvable spectrum of pulmonary disease characterized by bizarre infections, pneumothoraces, respiratory distress, and death. Thirty-eight patients underwent 49 surgical procedures during 42 months. Ages the ranged from 24 to 56 years. Surgical included tracheostomy, closure air leaks, mediastinoscopy, lobectomy, open lung biopsy, esophagogastrectomy. Hospital mortality was 10 38 (24%); 1 year survival rate 13 (34%). Pulmonary infections Pneumocystis carinii, cytomegalovirus, Microbacterium avium, toxoplasmosis, candidiasis, Cryptococcus neoformans. Open biopsy leaks can be accomplished safely with low morbidity. Tracheostomy ventilatory support should avoided at present in majority this syndrome, been 100% when that stage is reached.