FIELD: medicine, phthisiology.
SUBSTANCE: it is necessary to detect pulmonary tuberculoma during carrying out a short-term chemotherapeutic course according to WHO proceedings with the help of clinico-roentgeno-microbiological survey, moreover, it is important to determine the size and the character of tuberculoma flow and in case of tuberculoma being above 2.3 cm in diameter, the presence of medicinal resistance MBT, profession incompatible with the disease in question, the presence of severe accompanying pathology the surgical treatment should be indicated and during the period since the 3d to the 6th mo of therapy after carrying out intensive phase of chemotherapy one should fulfill resection of pathological pulmonary part followed by estimating medicinal sensitivity MBT in sputum and surgical material to anti-tuberculosis preparations and establish the combination of 3, not less anti-tuberculosis preparations to which sensitivity MBT is kept; moreover, the terms for post-surgical therapy corresponds to about 2-3 mo.
EFFECT: higher efficiency of therapy.
4 dwg, 4 ex, 10 tbl
