Buradasınız

Anasayfa » Content

Spontan pnömotorakslı olgularımızın klinik özellikleri

Clinical characteristics of our patients with spontaneous pneumothorax

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
In this study we aimed to evaluate the clinical features, treatment modalities performed and outcomes of the patients with spontaneous pneumothorax. Two hundred and eigthy eight patients who were treated with the diagnosis of spontaneous pneumothorax between January 2004 to December 2008 were evaluated according to age, gender, etiology, type of pneumothorax, treatments performed and their consequences, morbidity and mortality. Of the patients, 266 (92%) were male and 22 (8%) were female, and their mean age was 41.4±18.1 years. In the study, findings of 148 (51%) patients with primary spontaneous pneumothorax and of 140 (49%) patients with secondary spontaneous pneumothorax were compared. A spontaneous pneumothorax was detected in 147 (51%) cases, 137 (47%) cases and 4 (2%) cases in the right side, left side and bilaterally, respectively. The most common symptom in both groups was dyspnea. Chronic obstructive lung disease was the most common cause detected in the cases with secondary spontaneous pneumothorax. Recurrence developed in 49 patients in this series. Of the 70 cases performed surgical treatment, axillary thoracotomy or lateral thoracotomy was performed in 67 patients, and video assisted thoracoscopic surgery was performed in 3 patients. Morbidity was detected in 9 (3%) patients (prolonged air leak in 8 cases and hemorrhage in 1 case). No mortality was observed in cases performed surgical treatment. The mean hospitalization period was 9.3±5.3 (1-33) days. Age, clinical condition and underlying lung disease are important in spontaneous pneumothorax. Morbidity and mortality are low and outcomes are pretty good with appropriate diagnosis and treatment.
Bookmark/Search this post with
Abstract (Original Language): 
Bu çalışmada spontan pnömotoraks tanısı konulmuş olgularımızın klinik özelliklerini, yapılan tedavileri ve sonuçlarını değerlendirmeyi amaçladık. Ocak 2004 ile Aralık 2008 arasında spontan pnömotoraks tanısı ile tedavi edilen 288 olgu yaş, cinsiyet, etiyoloji, pnömotoraks tipi, uygulanan tedaviler ve sonuçları, morbidite ve mortalite açısından değerlendirildi. Hastaların 266’sı (%92) erkek, 22’si (%8) kadın olup, yaş ortalaması 41.4±18.1 yıl idi. Çalışmada 148 (%51) primer spontan pnömotorakslı, 140 (%49) sekonder spontan pnömotorakslı olguların bulguları karşılaştırıldı. Spontan pnömotoraks 147 (%51) olguda sağ tarafta, 137 (%47) olguda sol tarafta, dört olguda her iki hemitoraksta saptandı. Her iki grupta da en sık saptanan belirti nefes darlığı idi. Sekonder spontan pnömotorakslı olgularda kronik obstrüktif akciğer hastalığı en sık saptanan nedendi. Bu seride 49 olguda nüks gelişti. Cerrahi tedavi uygulanan 70 olgudan 67 olguya aksiller torakotomi veya lateral torakotomi ve 3 olguya video yardımlı torakoskopik cerrahi uygulandı. Dokuz (%3) olguda morbidite tespit edildi (8 olguda uzamış hava kaçağı ve 1 olguda kanama). Cerrahi tedavi uygulanan olgularda mortalite izlenmedi. Ortalama hastanede yatış süresi 9.3±5.3 (1–33) gündü. Spontan pnömotoraksta yaş, klinik durum ve altta yatan akciğer hastalığı önemlidir. Uygun tanı ve tedavi ile sonuçları oldukça iyi, morbiditesi ve mortalitesi düşük bir hastalıktır.
FULL TEXT (PDF): 
PDF icon arastirmax-spontan-pnomotoraksli-olgularimizin-klinik-ozellikleri.pdf
  • 2
71-74
  • Turkish

REFERENCES

References: 

Kaynaklar
1. Fry WA, Paape K. Pneumothorax. In: Shields TW,
LoCicero III J, Ponn RB, Rusch VW (eds). General
Thoracic Surgery. 6th ed. Philadelphia: Lippincott
Williams & Wilkins, 2005: 794–805.
2. Beauchamp G, Ouellette D. Spontaneous pneumothorax
and pneumomediastinum. In: Pearson FG, Cooper
JD, Deslauriers J (eds). Thoracic Surgery. 2nd ed.
Philadelphia: Churchill Livingstone, 2002: 1195–1213.
3. Henry M, Arnold T, Harvey J. BTS guidelines for the
management of spontaneous pneumothorax. Thorax
2003; 58: ii39–52.
4. Kuzucu A, Soysal Ö, Ulutaş H. Optimal timing for
surgical treatment to prevent recurrence of spontaneous
pneumothorax. Surg Today 2006; 36: 865–868.
5. Schramel FM, Postmus PE, Vanderschueren RG. Current
aspects of spontaneous pneumothorax. Eur Respir J
1997; 10: 1372–1379.
6. Rivo Vazquez JE, Canizares Carretero MA, Garcia
Fontan E, Albort Ventura J, Penalver Pascual R. Surgical
treatment of recurrent spontaneous pneumothorax:
what is the optimal timing? Arch Bronconeumol 2004;
40: 275–278.
7. Çelik B, Nadir A, Şahin E, Kaptanoğlu M, Demir H,
Furtun K. Nüks spontan pnömotorakslı olgularda risk
faktörleri, klinik ve radyolojik değerlendirme. Türk
Göğüs Kalp Damar Cer Derg 2008; 16: 107–112.
8. Laennec RTH. Traite de l’auscultation mediate et des
maladies des poumons et du coeur. Tome Second. Paris,
1819.
9. Melton LJ 3rd, Hepper NG, Offord KP. Incidence of
spontaneous pneumothorax in Olmsted County,
Minnesota: 1950 to 1974. Am Rev Respir Dis 1979; 120:
1379–1382.
10. Gupta D, Hansell A, Nichols T, Duong T, Ayres JG,
Strachan D. Epidemiology of pneumothorax in England.
Thorax 2000; 55: 666–671.
11. Smit HJ, Wienk MA, Schreurs AJ, Schramel FM, Postmus
PE. Do bullae indicate a predisposition to recurrent
pneumothorax? Br J Radiol 2000; 73: 356–359.
12. Ouanes-Besbes L, Golli M, Knani J, et al. Prediction of
recurrent spontaneous pneumothorax: CT scan findings
versus management features. Respir Med 2007; 101:
230–236.
13. Guo Y, Xie C, Rodriquez RM, Light RW. Factors related to
recurrence of spontaneous pneumothorax. Respirology
2005; 10: 378–384.
14. Torresini G, Vaccarili M, Divisi D, Crisci R. Is videoassisted thoracic surgery justified at first spontaneous
pneumothorax? Eur J Cardiothorac Surg 2001; 20:
42–45.
15. Freixinet JL, Canalis E, Julia G, et al. Axillary thoracotomy
versus videothoracoscopy for the treatment of primary
spontaneous pneumothorax. Ann Thorac Surg 2004;
78: 417–420.
16. Horio H, Nomori H, Fuyuno G, Kobayashi R, Suemasu
K. Limited axillary thoracotomy vs video-assisted
thoracoscopic surgery for spontaneous pneumothorax.
Surg Endosc 1998; 12: 1155–1158.
17. Cardillo G, Facciolo F, Giunti R, et al. Videothoracoscopic
treatment of primary spontaneous pneumothorax: a 6-
year experience. Ann Thorac Surg 2000; 69: 357–361.

Thank you for copying data from http://www.arastirmax.com