Spontaneous hemopneumothorax: Is conservative treatment enough?
Thoracic and Cardiovascular Surgeon, cilt.53, sa.4, ss.240-242, 2005 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 53 Sayı: 4
- Basım Tarihi: 2005
- Doi Numarası: 10.1055/s-2005-837647
- Dergi Adı: Thoracic and Cardiovascular Surgeon
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.240-242
- Anahtar Kelimeler: spontaneous hemopneumothorax, conservative treatment, results
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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 and Methods: 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. © Georg Thieme Verlag KG.