Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 34
Filter
1.
Arch. argent. pediatr ; 117(4): 416-419, ago. 2019. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1054948

ABSTRACT

El tratamiento de los lactantes con quistes pulmonares congénitos conlleva una resección quirúrgica. Las variaciones en la ubicación y el tamaño del quiste de aire en el pulmón afectado implican la selección de diferentes estrategias quirúrgicas. La presencia de quistes pulmonares congénitos gigantes que imitan un neumotórax a tensión no permitiría tomar una decisión precisa y realizar un tratamiento oportuno durante una emergencia respiratoria. Los escasos informes sobre este tipo de experiencia hacen referencia a quistes a tensión durante la niñez. En este artículo, presentamos el caso de un niño con un quiste pulmonar congénito gigante que imita neumotórax a tensión según las manifestaciones clínicas y las evaluaciones del diagnóstico por imágenes. La descompresión instantánea del neumotórax a tensión no logró aliviar la dificultad respiratoria del niño. En los niños que presentan evidencia clínica de neumotórax a tensión, se debe excluir la posibilidad de un quiste pulmonar congénito gigante.


Treats of symptomatic infants with congenital cystic lung lesions (CCLLs) need surgical resection. Variable location and size of the air cyst of involved lung mean that different surgical strategies must be selected. The presence of huge CCLLs mimicking tension pneumothorax would hamper accurate judgment and timely treatment in dealing with respiratory emergencies. Rare experience reports are coping with childhood tension cystic lung lesion. We present a case of childhood huge CCLLs which was similar to tension pneumothorax based on clinical manifestations and imaging evaluations. Implementation of instant decompression measure against tension pneumothorax failed to alleviate respiratory distress of child. We should exclude the possibility of huge lung cystic lesion in children when clinical evidence inclines to the diagnosis of tension pneumothorax.


Subject(s)
Humans , Male , Infant , Pneumothorax/diagnostic imaging , Cysts/congenital , Lung Diseases , Pneumothorax/complications , Congenital Abnormalities , Cysts/surgery
2.
Rev. inf. cient ; 98(6): 794-801, 2019. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1049404

ABSTRACT

Se reportó un caso de paciente femenina, mestiza de 29 años de edad con antecedentes de hipotiroidismo y conización por neoplasia intraepitelial cervical grado II, que realizó tres neumotórax en un plazo de 2 años, estando en reposo y durante el segundo día del ciclo menstrual. Es ingresada en la sala de Neumología del Hospital General "Dr. Juan Bruno Zayas Alfonso", con el diagnóstico probable de neumotórax secundario a endometriosis pleural. Se le realizó videotoracoscopia y laparoscopia con toma de muestra para estudio histológico. Se estableció el diagnóstico definitivo de neumotórax catamenial, se le hizo pleurodesis química con talco, tratamiento hormonal y antiinflamatorios no esteroideos (AINES), con lo que presentó una evolución satisfactoria(AU)


A case of a 29-year-old female, mixed race patient with a history of hypothyroidism and conization due to cervical intraepithelial neoplasia grade II was reported, who performed three pneumothorax within 2 years, being at rest and during the second day of the menstrual cycle. She is admitted to the Pulmonology ward of the General Hospital Dr. Juan Bruno Zayas Alfonso, with the probable diagnosis of pneumothorax secondary to pleural endometriosis. He underwent videotoracoscopy and laparoscopy with sampling for histological study. The definitive diagnosis of catamenial pneumothorax was established, chemical pleurodesis was made with talc, hormonal treatment and nonsteroidal anti-inflammatory drugs (NSAIDs), which presented a satisfactory evolution(AU)


Foi relatado o caso de uma paciente do sexo feminino, 29 anos, de raça mista, com história de hipotireoidismo e conização por neoplasia intraepitelial cervical grau II, que realizou três pneumotórax em 2 anos, estando em repouso e durante o segundo dia do ciclo menstrual. Ela é internada na enfermaria de Pneumologia do Hospital Geral "Dr. Juan Bruno Zayas Alfonso", com provável diagnóstico de pneumotórax secundário à endometriose pleural. Foi submetido a videotoracoscopia e laparoscopia com amostragem para estudo histológico. Foi estabelecido o diagnóstico definitivo de pneumotórax catamenial, realizada pleurodese química com talco, tratamento hormonal e antiinflamatórios não esteróides (AINEs), que apresentaram evolução satisfatória(AU)


Subject(s)
Humans , Female , Adult , Pneumothorax/diagnosis , Pneumothorax/therapy , Pneumothorax/diagnostic imaging
3.
Rev. argent. radiol ; 82(4): 154-160, dic. 2018. ilus, tab
Article in Spanish | LILACS | ID: biblio-985210

ABSTRACT

Objetivo Determinar la incidencia de complicaciones con el uso de una aguja gruesa (semiautomática Trucut 18), para punción pulmonar y realizar un análisis exploratorio de las variables inherentes al paciente que probablemente puedan tener relación con el desarrollo de complicaciones. Materiales y Métodos Estudio retrospectivo de una serie de casos de pacientes sometidos a punción percutánea transtorácica (PPT) con aguja gruesa y guiada por tomografía computada (TC) para el estudio de lesiones pulmonares; se realizó un análisis univariado. Resultados Se realizaron 26 punciones, la tasa de incidencia de complicaciones fue del 38,46% en 1 año; los pacientes presentaron: neumotórax leve (n » 7), neumotórax moderado (n » 3) y hemorragia alveolar difusa (n » 1). El análisis estadístico univariado mostró una diferencia estadísticamente significativa en la edad de los pacientes que presentaron complicaciones v/s los pacientes que no presentaron complicaciones (61,18 þ/- 3,6 versus 75,1 þ/- 2,46 años, p » 0,0107). Conclusión La PPT-TC es un procedimiento con una tasa considerable de complicaciones no severas; en nuestra serie de casos, la edad fue la variable que se asoció con mayor fuerza al probable desarrollo de complicaciones.


Objective Establish the incidence of complications with the use of thick needle (Trucut 18) for pulmonary puncture and perform an exploratory analysis of the inherent variables to the patient that may be related to complication development. Materials and Methods Retrospective study of a case series of patients undergoing transthoracic percutaneous puncture (PPT) with thick needle,guided by computed tomography (CT) for the study of pulmonary lesions; a univariate and multivariate analysis was performed. Results 26 punctures were performed, the incidence rate of complications was 38.46% in 1 year: patients presented: mild pneumothorax (n » 7), moderate pneumothorax (n » 3) and diffuse alveolar hemorrhage (n » 1). The univariate statistical analysis showed a statistically significant difference in the age of the patients who presented complications v/s patients who did not present complications (61.18 þ/- 3.6 versus 75.1 þ/- 2.46 years, p » 0.0107). Conclusion PPT-CT is a procedure with a considerable rate of non-severe complications; in our case series, age was the variable that was most strongly associated with the probable development of complications.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Punctures/adverse effects , Punctures/methods , Punctures/statistics & numerical data , Radiology, Interventional/methods , Pneumothorax/diagnostic imaging , Tomography, X-Ray Computed , Retrospective Studies , Risk Factors
6.
Neumol. pediátr. (En línea) ; 12(3): 133-135, jul. 2017. ilus
Article in Spanish | LILACS | ID: biblio-999134

ABSTRACT

Pneumothorax is defined as the presence of air within the pleural cavity. It may be traumatic, iatrogenic, spontaneous secondary or primary. In the latter cause, the most frequent are subpleural and apical bulla in longiline patients, with connective tissue diseases and smokers. Treatment should be conservative in patients who present a small pneumothorax. Instead, a probe should be installed if it is greater. In the presence of frequent recurrences or persistent air leakage, pleurodesis should be considered, or resection of the bullous should be practiced. In this article we review a patient with Elhers Danlos syndrome, who presents a primary spontaneous pneumothorax due to subpleural bulla


El neumotórax se define como la presencia de aire dentro de la cavidad pleural. Puede ser traumático, iatrogénico, espontáneo secundario o primario, dentro de esta última causa la más frecuente son las bulas subpleurales y apicales, en pacientes longilíneos, portadores de enfermedades del tejido conectivo y fumadores. En neumotórax pequeños el tratamiento debe ser conservador, en cambio en los de mayor cuantía se debe proceder a la instalación de una sonda pleural. Frente a recidivas frecuentes o persistencia del escape aéreo, se debe considerar la pleurodesis o bien practicar la resección de las bulas.En el presente artículo se reporta a un paciente con síndrome de Elhers Danlos que presenta un neumotórax espontáneo primario debido a bulas subpleurales.


Subject(s)
Humans , Male , Pneumothorax/etiology , Pneumothorax/diagnostic imaging , Blister/complications , Pneumothorax/therapy , Radiography, Thoracic , Tomography, X-Ray Computed
8.
Einstein (Säo Paulo) ; 14(3): 443-448, July-Sept. 2016. graf
Article in English | LILACS | ID: lil-796958

ABSTRACT

ABSTRACT Ultrasound examination of the chest has advanced in recent decades. This imaging modality is currently used to diagnose several pathological conditions and provides qualitative and quantitative information. Acoustic barriers represented by the aerated lungs and the bony framework of the chest generate well-described sonographic artifacts that can be used as diagnostic aids. The normal pleural line and A, B, C, E and Z lines (also known as false B lines) are artifacts with specific characteristics. Lung consolidation and pneumothorax sonographic patterns are also well established. Some scanning protocols have been used in patient management. The Blue, FALLS and C.A.U.S.E. protocols are examples of algorithms using artifact combinations to achieve accurate diagnoses. Combined chest ultrasonography and radiography are often sufficient to diagnose and manage lung and chest wall conditions. Chest ultrasonography is a highly valuable diagnostic tool for radiologists, emergency and intensive care physicians.


RESUMO O exame ultrassonográfico do tórax avançou nas últimas décadas, sendo utilizado para o diagnóstico de inúmeras condições patológicas, e fornecendo informações qualitativas e quantitativas. Os pulmões aerados e o arcabouço ósseo do tórax representam barreira sonora para o estudo ultrassonográfico, gerando artefatos que, bem conhecidos, são utilizados como ferramentas diagnósticas. Eco pleural normal, linhas A, linhas B, linhas C, linhas E e Z (conhecidas como falsas linhas B) são artefatos com características peculiares. Os padrões de consolidação e de pneumotórax também são bem estabelecidos. Alguns protocolos têm sido utilizados no manuseio dos pacientes: Blue Protocol, Protocolo FALLS e Protocolo C.A.U.S.E são exemplos de três propostas que, por meio da associação entre os artefatos, permitem sugerir diagnósticos precisos. A ultrassonografia de tórax, aliada à radiografia de tórax, muitas vezes é suficiente para o diagnóstico e a conduta das afecções pulmonares e da parede torácica. Trata-se de ferramenta diagnóstica de grande valia para médicos radiologistas, emergencistas e intensivistas.


Subject(s)
Humans , Thorax/diagnostic imaging , Ultrasonography/trends , Lung/diagnostic imaging , Pleura/diagnostic imaging , Pneumothorax/diagnostic imaging , Ultrasonography/standards , Artifacts , Practice Guidelines as Topic/standards , Emphysema/diagnostic imaging
9.
Rev. méd. Chile ; 144(7): 903-909, jul. 2016. ilus, tab
Article in Spanish | LILACS | ID: lil-794004

ABSTRACT

The use of thoracic ultrasound as a diagnostic tool in the emergency department, intensive care unit or in patients with pulmonary diseases is increasing steadily. It is used to guide percutaneous tracheostomies, to assess pleural effusions, to rule out pneumothorax, and to guide the placement of endovascular and pleural catheters. It is also useful in the assessment of patients with dyspnea. The aim of this review is to provide the practical and technical basics for the use of this diagnostic tool among internists and specialists in pulmonary diseases.


Subject(s)
Humans , Pleural Effusion/diagnostic imaging , Pneumothorax/diagnostic imaging , Pulmonary Edema/diagnostic imaging , Ultrasonography/methods , Thoracostomy/methods , Tracheostomy/methods , Acute Disease
10.
J. bras. pneumol ; 42(3): 222-226, graf
Article in English | LILACS | ID: lil-787493

ABSTRACT

ABSTRACT With the advent of HRCT, primary spontaneous pneumothorax has come to be better understood and managed, because its etiology can now be identified in most cases. Primary spontaneous pneumothorax is mainly caused by the rupture of a small subpleural emphysematous vesicle (designated a bleb) or of a subpleural paraseptal emphysematous lesion (designated a bulla). The aim of this pictorial essay was to improve the understanding of primary spontaneous pneumothorax and to propose a description of the major anatomical lesions found during surgery.


RESUMO Com o advento da TCAR, o pneumotórax espontâneo primário passou a ser mais bem entendido e conduzido, pois sua etiologia pode ser atualmente identificada na maioria dos casos. O pneumotórax espontâneo primário tem como principal causa a rotura de uma pequena vesícula enfisematosa subpleural, denominada bleb ou de uma lesão enfisematosa parasseptal subpleural, denominada bulla. O objetivo deste ensaio pictórico foi melhorar o entendimento do pneumotórax espontâneo primário e propor uma descrição das principais lesões anatômicas encontradas durante a cirurgia.


Subject(s)
Humans , Pneumothorax/etiology , Pulmonary Emphysema/etiology , Blister/diagnostic imaging , Lung/diagnostic imaging , Lung/surgery , Medical Illustration , Pneumothorax/diagnostic imaging , Pneumothorax/surgery , Pulmonary Emphysema/diagnostic imaging , Pulmonary Emphysema/surgery , Thoracic Surgery, Video-Assisted
12.
Pulmäo RJ ; 25(1): 5-10, 2016. il.
Article in Portuguese | LILACS | ID: biblio-848783

ABSTRACT

A Ultrassonografia tem grande valor na avaliação das doenças da pleura. Trata-se de um método não invasivo e isento de riscos que permite a realização de exame em tempo real e à beira do leito. Ela é útil na análise dos derrames pleurais, inclusive podendo ser utilizada como guia para procedimentos invasivos. Na suspeita de pneumotórax a US também tem grande utilidade assim como na análise das alterações sólidas das superfícies pleurais e das estruturas adjacentes. AU


The ultrasound has great value in the evaluation of diseases of the pleura. This is a non-invasive and risk--free method that allows the realization of examination in real time and at the bedside. It is useful in the analysis of pleural effusions, even can be used as a guide to invasive procedures. In suspected cases of pneumothorax US also has great utility as well as the analysis of the solid changes in pleural surfaces and adjacent structures AU


Subject(s)
Humans , Male , Female , Pleural Effusion/diagnostic imaging , Pneumothorax/diagnostic imaging , Ultrasonography
14.
Rev. chil. enferm. respir ; 30(3): 156-165, set. 2014. ilus, tab
Article in Spanish | LILACS | ID: lil-728324

ABSTRACT

The use of Platelet-rich plasma (PRP) involves a very complex network of molecular effects favoring tissue regeneration, due the presence of multiple mediators and growth factors. There are several communications about its use on the dental implantology field, plastic surgery and orthpedics. Besides, its utility has been suggested on peripheral nerves regeneration after trauma. In this article we present our experience on the use of PRP on acute injury of the respiratory system. We present a clinical series of 8 patients treated with PRP with positive response. Four of them presenting a massive hemoptysis were treated by direct endoscopic instillation of autologous PRP on the site of lesion; an immediate favorable result was obtained in all of them, without recurrence of bleeding on the follow-up period. A fifth case was a HIV seropositive patient with a spontaneous pneumothorax on intersticial pneumonia. He was treated by direct instillation of PRP through a thoracic tube. Full lung reexpansion was achieved within 72 h. Finally two patients with a respiratory fistula and another patient who suffered a traumatic tracheal rupture were treated with PRP endoscopic instillation, all of them with favorable clinical outcome. The use of autologous products as PRP has shown a good performance in all the clinical situations described, proposing it as a potentially very useful technique, particularly when a minimally invasive approach is required.


El uso de plasma rico en plaquetas (PRP) involucra una compleja red de efectos moleculares que favorecerían la regeneración tisular, dada la presencia en él de múltiples mediadores y factores de crecimiento. Se ha comunicado su uso con éxito en implantología odontológica, cirugía plástica y ortopedia como también se ha sugerido su utilidad en la regeneración de nervios periféricos posterior a trauma. No existe difusión acerca de su uso en patología respiratoria. Comunicamos nuestra experiencia en el uso de PRP en daño agudo del aparato respiratorio. En esta serie de casos, se trataron 4 pacientes con hemoptisis masiva mediante preparación de PRP autólogo previo al procedimiento e instilación vía endoscópica en el sitio del defecto, con buen resultado inmediato y sin recidiva del sangrado al seguimiento; 1 caso de neumotórax espontáneo con infiltrados pulmonares con fracaso del manejo con sonda endopleural (SEP), que resultó ser una neumonía intersticial con quistes pulmonares en un paciente VIH sero-positivo, instilándose PRP por SEP, reexpandiendo el pulmón a las 72 h; 2 pacientes portadores de fístula respiratoria y 1 paciente portador de ruptura traqueal traumática, todos con buena respuesta. El uso de productos autólogos como PRP ha logrado un favorable rendimiento en todas las situaciones clínicas planteadas, lo que lo sitúa como una herramienta con notable potencial de desarrollo particularmente en casos que por sus características particulares requieren de un manejo mínimamente invasivo.


Subject(s)
Humans , Male , Female , Adolescent , Middle Aged , Aged , Tissue Engineering , Platelet-Rich Plasma , Pneumothorax/diagnostic imaging , Regeneration/genetics , Bronchoscopy/methods , Bronchial Fistula , Tracheoesophageal Fistula , Intercellular Signaling Peptides and Proteins , Hemoptysis/pathology
16.
Article in English | IMSEAR | ID: sea-154399

ABSTRACT

Emerging evidence suggests that ultrasonography of lung is a fast, inexpensive, widely available bed-side diagnostic tool which is useful for quick and early diagnosis of respiratory diseases. It is useful in the differential diagnosis of pulmonary infiltrates and has good accuracy in identifying consolidation and alveolar-interstitial syndrome. This technique can also be useful in the immediate evaluation of patients with dyspnoea or acute respiratory failure in the respiratory intensive care unit and helps in monitoring treatment response. Ultrasonography of lung has also been found to be useful in the diagnosis of pulmonary embolism, traumatic lung contusion and lung consolidation as well. There is a need for developing specific guidelines for establishing the standards of training and education regarding lung ultrasonography in India.


Subject(s)
Early Diagnosis , Humans , India , Lung Diseases/diagnosis , Lung Diseases/diagnostic imaging , Pneumothorax/diagnostic imaging , Predictive Value of Tests , Pulmonary Atelectasis/diagnostic imaging , Respiratory Care Units , SENSITIVITY &
18.
Alexandria Journal of Pediatrics. 2011; 25 (1): 71-75
in English | IMEMR | ID: emr-135640

ABSTRACT

Pneumothorax is a severe complication of pulmonary disease in newborn infants. It is often related to therapeutic procedures such as resuscitation and mechanical ventilation. Aim of this study was to detect the incidence of pneumothorax in mechanically ventilated neonates in the Neonatal Intensive Care Unit [NICU] -Cairo University and determine their associated risk factors. A retrospective study conducted in the NICU Children's Hospital-Cairo University during the period from January 2007 to December 2008. Files of 633/3321[19.06%] neonates receiving assisted ventilation were studied for presence of a radiological evidence of air leaks. Accordingly, they were classified into 2 groups: Group I including neonates with evidence of pneumothorax, and Group II including those with no evidence of pneumothorax. Results detected pneumothorax in 26/633[4.10%] of ventilated neonates. There were statistical significant differences between both groups in: Mean birth weight which was1.47 +/- 0.58 kg in group I versus 2.48 +/- 0.77 kg in group II with P value<0.001 highly significant [HS], mean duration of Ventilation which was 13.15 +/- 8.61 days in group I versus 7.13 +/- 6.56 days in group II with P value<0. 001 [HS], days in group II with P value<0.001[HS], and outcome as 20/26[76.92%] neonates of group I died and 319/607[52.90%] of group II died with P value<0.001[HS]. Twenty one out of twenty six [80.76%] neonates were diagnosed as respiratory distress syndrome [RDS], while 5126 [19.23%] were meconium aspiration syndrome. The highest percentage of pneumothorax was observed in neonates receiving SIMV from the start of ventilation 15126 [57.69%], followed by those receiving NCPAP then SIMV 10126 [38.46%], and only in 1 neonate receiving NCPAP only[3.84%] with P value 0.032[Significant]. FIO2 was higher in group I compared to group II: 51.54 +/- 23.14 versus 35.09 +/- 19.10; P value<0.001[HS]. PIP was higher in group I than group II: 25.16 +/- 5.79 cm H20 versus20.82 +/- 4.57 cm H20; P value 0.01 [S]. Respiratory rate was higher in group I versus group II: 41.40 +/- 10.93 versus 34.55 +/- 11.65 ; P value 0.01 [S]


Subject(s)
Humans , Male , Female , Pneumothorax/diagnostic imaging , Infant, Newborn , Hospitals, University , Retrospective Studies , Mortality
19.
Rev. cuba. cir ; 49(4): 52-57, oct.-dic. 2010.
Article in Spanish | LILACS, CUMED | ID: lil-584330

ABSTRACT

Se presenta el caso de un paciente de 64 años de edad que acudió al cuerpo de guardia con dolor torácico agudo localizado en hemitórax derecho y disnea intensa. La persistencia del neumotórax sin que se lograra la reexpansión pulmonar con la pleurotomía y el drenaje torácico obligó a una toracotomía. Se encontró una bulla enfisematosa gigante rota, y se realizó una bilobectomía superior y media. El diagnóstico histológico fue carcinoma bronquioalveolar. La coincidencia de un cáncer de pulmón en una bulla enfisematosa no es excepcional, pero la aparición y persistencia de un neumotórax como manifestación inicial de un cáncer de pulmón es poco frecuente(AU)


This is the case of a patient aged 64 seen in the emergency room due to a acute thorax pain located in right hemithorax and intense dyspnea. The persistence of pneumothorax without to achieve a pulmonary re-expansion with a pleurotomy and thoracic drainage be necessary a thoracotomy. A ruptured giant emphysematous bulla was found thus the superior and middle bilobectomy. The histological diagnosis was a bronchoalveolar carcinoma. Coincidence of a lung cancer in a emphysematous bulla isn't exceptional and the persistence of pneumothorax as initial manifestation of lung cancer is not frequent(AU)


Subject(s)
Humans , Male , Middle Aged , Pneumothorax/diagnostic imaging , Adenocarcinoma, Bronchiolo-Alveolar/diagnosis , Lung Neoplasms/complications , Thoracotomy/adverse effects , Emergency Service, Hospital
20.
Rev. cuba. cir ; 49(4): 29-36, oct.-dic. 2010.
Article in Spanish | LILACS, CUMED | ID: lil-584327

ABSTRACT

INTRODUCCIÓN. La conducta ante un neumotórax tiene como objetivos fundamentales el alivio de los síntomas y evitar las complicaciones propias de esta entidad. El tratamiento puede ir desde el conservador hasta la resección pleural, y depende de la causa, intensidad del neumotórax, síntomas del paciente y enfermedades asociadas. Esta investigación tuvo como objetivo analizar el comportamiento del neumotórax espontáneo y traumático y evaluar su tratamiento. MÉTODOS. Se realizó un estudio multicéntrico, con elementos analíticos, descriptivo, retro y prospectivo, de corte longitudinal, en 154 pacientes con diagnóstico clínico radiológico de neumotórax, que fueron atendidos entre octubre de 1998 y diciembre de 2008 siguiendo un algoritmo de trabajo confeccionado con esta finalidad. La muestra estudiada estuvo compuesta por 154 pacientes. RESULTADOS. En el estudio predominó el sexo masculino, el hábito de fumar y el tipo de neumotórax traumático. La pleurotomía mínima fue efectiva en el 94,8 por ciento de los pacientes. Los neumotórax traumáticos fueron en total 126 (81,2 por ciento). De éstos, 120 (77,9 por ciento) fueron producidos por heridas por arma blanca y contusiones y 6 fueron iatrogénicos (3,8 por ciento). La complicación más frecuente después de pleurotomía fue la obstrucción de la sonda pleural. CONCLUSIONES. El tratamiento médico, la pleurotomía mínima indiferente, la pleurotomía mínima alta y la pleurodesis química tuvieron una efectividad de entre el 90 y el 100 por ciento. Predominaron las variedades de neumotórax traumáticos. Las indicaciones de toracotomía en esta serie fueron por neumotórax persistente y recidivante, y traumático(AU)


INTRODUCTION. The proceed in the face of a pneumothorax has as fundamental objectives the symptoms relief and to avoid the complications typical of this entity. The treatment could be of conservative type up to the pleural resection depending on the cause, its intensity, symptoms of patient, and associated diseases. The objective of present paper was to analyze the behavior of he spontaneous and traumatic pneumothorax and also to assess its treatment.. METHODS. A multi-center study was conducted using analytical, descriptive, retrospective and prospective, cross-sectional elements in 154 patients with clinical, radiological diagnosis of the pneumothorax seen between October, 1998 and December, 2008, following the work algorithm designed for this aim. Study sample included 154 patients. RESULTS. In present study there was predominance of male sex, smoking and the type of traumatic pneumothorax. The minimal pleurotomy was effective in the 94,8 percent of patients. The traumatic pneumothorax were 126 (81,2 percent). From these, 120 (77,9 percent) were caused by firearms wounds and contusions and six were of iatrogenic type (3,8 percent. The more frequent complication after pleurotomy was the pleural tube obstruction. CONCLUSIONS. The medical treatment, indifferent minimal pleurotomy, the high minimal pleurotomy and the chemical pleurodesis had a effectiveness between the 90 and the 100 percent. There was predominance of several types of traumatic pneumothorax in this series, thoracotomy indications were due to a persistent, traumatic, relapsing pneumothorax(AU)


Subject(s)
Humans , Male , Pneumothorax/diagnostic imaging , Algorithms , Thoracotomy/methods , Pneumothorax/surgery , Epidemiology, Descriptive , Longitudinal Studies , Prospective Studies , Retrospective Studies
SELECTION OF CITATIONS
SEARCH DETAIL