In 1911 in the first issue of "Orvosképzés" baron Sandor Koranyi, professor of medicine described the spatial origin and the medium of sound effects triggered by chest percussion in tuberculosis. His description is so sensible as the examination was not performed by his two fingers, but the most sophisticated ultrasound instrument. Tuberculosis endaemia, the large number of patients, the special methods of diagnosis and treatment led to the separation of pulmonology from internal medicine. Lung tuberculosis patients were treated in sanatoria until the effective antituberculotic drugs became available. Afterwards, in the 50-s and 60-s, the incidence of tuberculosis decreased, but that of chronic obstructive pulmonary disease (COPD) and other acute lung diseases dramatically increased. Today, there are less than 2000 tuberculotic and more than 600 000 COPD patients in Hungary. Pulmonology became a provider of active and acute patient care. Respiratory medicice embraces bronchology, pulmonary oncology, infectology and various modes of mechanical ventilation. In developed countries specialists of pulmonology are trained in respiratory intensive care. The use of noninvasive ventilation is extensively spreading and pulmonologists have major role in taking care of patients suffering from long-term critical state.
|Translated title of the contribution||From chest percussion to 21 st century respiratory medicine|
|Number of pages||7|
|Publication status||Published - Dec 5 2011|
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