Document Detail


Spontaneous hemopneumothorax revisited: clinical approach and systemic review of the literature.
MedLine Citation:
PMID:  16242469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous hemopneumothorax, defined as the accumulation of more than 400 mL of blood in the pleural cavity in association with spontaneous pneumothorax, is a rare entity occurring in young patients and may be life threatening. Although many reports of case studies and series have been published in the world literature, the lack of consistent intraoperative findings and varying surgical methods require a review study. METHODS: We discuss the clinical features, management, surgical findings, and outcomes of our own patients with spontaneous hemopneumothorax. RESULTS: From September 1997 to September 2003, 488 patients with spontaneous pneumothorax were treated at our hospital. Of these patients, 27 (5.5%) had spontaneous hemopneumothorax develop. These 27 patients were comprised of 25 men and 2 women ranging in age from 15 to 39 years (mean age, 22.3 years). The amount of blood that was drained ranged from 400 to 1,700 mL (mean, 1,012 mL). Twenty-one patients underwent video-assisted thoracoscopic surgery within 1 day after admission; the remaining 6 patients were treated conservatively with tube thoracostomy alone. On arrival at our emergency room, 9 patients (33.3%) experienced hemodynamic instability with hypovolemic shock. In a review of 6,396 patients with spontaneous pneumothorax in the literature and in our current study, 201 patients (3.1%) had spontaneous hemopneumothorax develop. One hundred seventy-six patients (87.6%) were treated surgically, whereas video-assisted thoracoscopic surgery has been performed in 48.9% of patients (86 of 176). There was no recurrence of hemopneumothorax in any of the 201 patients with spontaneous hemopneumothorax after treatment during the follow-up period. CONCLUSIONS: Thus one-third of the patients with spontaneous hemopneumothorax had shock symptoms develop. Video-assisted thoracoscopic surgery may be considered as an initial treatment procedure for patients with spontaneous hemopneumothorax, whereas conservative treatment is effective and may be performed in selected patients.
Authors:
Nan-Yung Hsu; Chih-Shiun Shih; Chung-Ping Hsu; Ping-Ru Chen
Related Documents :
11243959 - Symptomatic persistent post-coronary artery bypass graft pleural effusions requiring op...
6768239 - Unusual radiographic findings in adult pulmonary tuberculosis.
2922619 - Large pericardial effusion after cardiac surgery: role of echocardiography in diagnosis...
7135279 - Pulmonary sarcoidosis with an alveolar radiographic pattern.
2606549 - Interrelationship between bronchoalveolar lavage cellular constituents and pulmonary fu...
17045789 - Clinical characteristics and outcomes of empyema thoracis in 117 patients: a comparativ...
128399 - Laparoscopy and laparotomy combined with bone marrow biopsy in staging hodgkin's disease.
15723739 - Supplementation of fish oil and olive oil in patients with rheumatoid arthritis.
15124939 - Hla-drb1* alleles and temporomandibular joint erosion in patients with various rheumati...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  80     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-24     Completed Date:  2006-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1859-63     Citation Subset:  AIM; IM    
Affiliation:
Division of Chest Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan, Republic of China. h440506@ms15.hinet.net
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Hemopneumothorax* / diagnosis,  physiopathology,  surgery
Humans
Male
Thoracic Surgery, Video-Assisted*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Quantitative computed tomography versus spirometry in predicting air leak duration after major lung ...
Next Document:  Postoperative chylothorax after cardiothoracic surgery in children.