Clinical Experience of Spontaneous Hemopneumothorax / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 669-674, 2010.
Article
in Ko
| WPRIM
| ID: wpr-206991
Responsible library:
WPRO
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 AND METHOD: 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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pneumothorax
/
Shock
/
Thoracostomy
/
Chest Tubes
/
Retrospective Studies
/
Follow-Up Studies
/
Blister
/
Thoracic Surgery, Video-Assisted
/
Pleural Cavity
/
Rare Diseases
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Female
/
Humans
/
Male
Language:
Ko
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2010
Document type:
Article