肺结核病在生产后的恶化,以前认为是因产后膈肌下降造成的,在未广泛使用化学疗法以前,主张产后立即实行气腹,以维持膈的高位,防止病的恶化,并以持续气腹做为治疗的手段。但自化学疗法广泛应用后,并且现在认为膈下降只不过是产后恶化因素中的一种,因而实无必要在产后立即施行气腹。对活动性结核病人在产后,如能立即使用化学疗法,是可以防止病变进展的,如病变不是单用化学疗法就能好转时,可在以后加用气腹。如果空洞在上方,经产前用化学疗法并未闭合时,行气胸似较气腹为佳,因上方 Tuberculosis in post-production deterioration, previously thought to be caused by decreased postpartum diaphragm, did not widely use chemotherapy before advocating pneumoperitoneum immediately after delivery to maintain the high diaphragm to prevent the deterioration of the disease, and to continue to do the pneumoperitoneum Means for treatment. However, since the widespread use of chemotherapy, and now that the diaphragmatic decline is only one of the factors of postpartum deterioration, so there is no need to impose pneumoperitoneum immediately after delivery. For active TB patients in postpartum, if immediate use of chemotherapy, is to prevent the progression of the disease, such as lesions not only chemotherapy can improve, you can add pneumoperitoneum later. If the empty top, the prenatal chemotherapy is not closed, the line of pneumothorax pneumoperitoneum is better, due to the top