| Surgical management of spontaneous pneumothorax in patients with acquired immunodeficiency syndrome. | |
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MedLine Citation:
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PMID: 3257374 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Spontaneous pneumothorax has been reported with increasing frequency in patients with acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia. In the past year, we treated 4 patients with spontaneous pneumothorax. All of them were treated with closed tube thoracostomy, and 1 patient with bilateral apical cysts eventually required bilateral thoracotomies and pleurectomies. Only 1 patient had an uncomplicated hospital course. The remaining patients had prolonged air leaks, and 2 had synchronous pneumothoraces. Pneumothorax appears to be associated with P. carinii pneumonia. We recommend closed tube thoracostomy as the initial treatment in symptomatic patients. Pleurectomy for air leaks persisting longer than seven days can be safely performed in patients fit for thoractomy. |
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Authors:
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A G Fleisher; G McElvaney; L Lawson; A N Gerein; D Grant; G F Tyers |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 45 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1988 Jan |
Date Detail:
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Created Date: 1988-02-12 Completed Date: 1988-02-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 21-3 Citation Subset: AIM; IM; X |
Affiliation:
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Division of Cardiovascular and Thoracic Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Immunodeficiency Syndrome
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complications* Adult Humans Male Middle Aged Pneumonia, Pneumocystis / complications Pneumothorax / etiology, surgery* Thoracostomy / methods Thoracotomy |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 1993 Mar;55(3):808-9
[PMID:
8452463
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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