Aproaches To Spontaneous Pneumothorax: Five Year Survival

Yıl 2007, Cilt: 9 Sayı: 2, 8 - 13, 01.07.2007

Sabri Topdag Zekeriya Ilçe Arif Aslaner İsmet Özaydin

Öz

Purpose: Spontaneous pneumothorax is usually seen in young male adults. Patients usually present with dyspnea and chest pain. In this study, patients diagnosed as spontaneous pneumothorax and treated in our clinic were evaluated in accord with the published literature. Methods: Subjects were evaluated with regard to age at presentation, sex, presenting complaint, side of spontaneous pneumothorax. Results: Of patients, 17 (85 %) were male and 3 (15 %) female. Mean age was thirty eight years. Major complaints were dyspnea and chest pain. Thirteen (65 %) were on the right and seven (35 %) were on the left site. Of 17 male subjects, 14 were current smoker. Mean pneumothorax percentage was calculated as 71%. Three (15%) patients had history of underlying lung disease (tuberculosis, pnomoconiosis, ampyema). Therapeutic tube thoracostomy was placed to all subjects. It remained in place 4.6 days on average. Conclusion: spontaneous pneumothorax is non-fatal and curable disease when diagnosed and treated in time. Pleurodesis can be tried to perform as an alternative method when spontaneous pneumothorax recurs

Anahtar Kelimeler

Spontaneous pneumothorax, tube thoracostomy, pleuredezis

Spontan Pnömotoraksli Olgulara Yaklasim: Bes Yillik Deneyim

Öz

Amaç: Spontan pnömotoraks genelde genç eriskin erkeklerin hastaligidir. Olgular genellikle solunum sikintisi ve gögüs agrisi sikayetiyle basvururlar. Çalismamizda hastanemizde 5 yil içinde teshis ve tedavisi yapilan spontan pnömotoraksli olgular degerlendirildi. Gereç ve Yöntem: Olgular yas, cinsiyet, basvuru sikayeti, pnömotoraks tarafi, tani yöntemi, pnömotoraks yüzdesi, tedavi yaklasimi ve sonuçlari açisindan degerlendirildi. Tanida klinik bulgular ve akciger grafisi esas alindi. Pnömotoraks yüzdesinin hesaplanmasinda Light ve arkadaslarinin tanimladigi formül kullanildi.Bulgular: Çalismamizda 20 spontan pnömotoraksli olgu degerlendirildi. Olgularin 17’si (%85) erkek, 3’ü (%15) bayan idi. Ortalama yaslari 38 idi. Baslica klinik sikayetleri; solunum sikintisi ve gögüs agrisi idi. Pnömotoraksin 7’si (%35) sol, 13’ü (%65) ise sag hemitoraks yerlesimliydi. 17 erkek olgunun 14’nün sigara içme aliskanligi vardi. Ortalama pnömotoraks yüzdesi %71 olarak hesaplandi. Tüm olgulara tedavi amaçli tüp torakostomi uygulandi. Tüp ortalama 4,6 gün kaldi. Spontan pnömotoraksi tekrarlayan üç olguya tetrasiklin ile plöridezis uygulandi. Sonuç: Spontan pnömotoraks zamaninda teshis ve tedavi edildiginde sonuçlari oldukça iyi mortalitesi olmayan bir patolojidir. Spontan pnömotoraksin tekrarladiginda plöridezis alternatif bir tedavi yöntemi olarak denenebilir

Anahtar Kelimeler

Spontan pnömotoraks, tüp torakostomi, plöridezis

Kaynakça

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