Spontaneous hemopneumothorax: is conservative treatment enough?
Thorac Cardiovasc Surg
; 53(4): 240-2, 2005 Aug.
Article
em En
| MEDLINE
| ID: mdl-16037871
ABSTRACT
PURPOSE:
Spontaneous hemopneumothorax is a rare disorder, occurring in 1% to 12% of patients with spontaneous pneumothorax. The present review was undertaken to emphasize the potential life-threatening condition of spontaneous hemopneumothorax and reassess the benefit of conservative treatment with chest tube drainage. MATERIAL ANDMETHODS:
From 1997 to 2002, 291 cases of spontaneous pneumothorax were treated in our department. Of these, 9 (3.09%) developed hemopneumothorax (> 400 ml). The clinical features of these patients and the results of conservative and surgical management were retrospectively reviewed.RESULTS:
Seven patients were treated conservatively and two required VATS and thoracotomy because of worsening clinical condition. The amount of aspirated blood ranged from 400 to 3700 ml (mean, 1533 ml). Six patients received a homologous blood transfusion.CONCLUSIONS:
In conclusion, hemopneumothorax is a serious condition complicating spontaneous pneumothorax. Conservative treatment is adequate in most cases and should be performed if bleeding persists for less than 24 hours after chest tube placement.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Toracotomia
/
Cirurgia Torácica Vídeoassistida
/
Hemopneumotórax
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Thorac Cardiovasc Surg
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Turquia