Clinical Experience of Spontaneous Hemopneumothorax / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 669-674, 2010.
Article
Dans Coréen
| WPRIM
| ID: wpr-206991
ABSTRACT
BACKGROUND:
Spontaneous hemopneumothorax is characterized by the accumulation of air and more than 400 mL of blood in pleural cavity without any apparent cause. It is a rare disease and can cause life-threatening situation. We analyzed clinical reviews of two medical centers to aid in optimal management. MATERIAL ANDMETHOD:
Retrospective review between March 2003 and August 2010 with 18 spontaneous hemopneumothorax patients was made.RESULT:
These 18 patients were comprised of 15 male and 3 female with average 24.6 years (range 15~46 years). Almost patients (16) underwent a closed thoracostomy initially and 15 patients received video-assisted thoracic surgery (VATS). Mean postoperative chest tube removal was 2.9 days and one complication was post-removal pneumothorax. During the follow-up periods there were no other complications and recurrence.CONCLUSION:
Proper initial diagnosis and management of spontaneous hemopneumothorax prevent significant hypovolemic shock. Video-assisted thoracic surgery should be considered an early surgical management in spontaneous hemopneumothorax. However conservative manage without bleb excision may be effective in selected patients.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pneumothorax
/
Choc
/
Thoracostomie
/
Drains thoraciques
/
Études rétrospectives
/
Études de suivi
/
Cloque
/
Chirurgie thoracique vidéoassistée
/
Cavité pleurale
/
Maladies rares
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2010
Type:
Article
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