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KMID : 0364020070400090613
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Korean Journal of Thoracic and Cardiovascular Surgery
2007 Volume.40 No. 9 p.613 ~ p.616
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Clinical Reviews of Spontaneous Hemopneumothorax
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Kim Jung-Tae
Jang Un-Ha
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Abstract
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Background: Spontaneous hemopneumothorax is a rare disease and can be life threatening; it occurs in 1∼12% of patients with spontaneous pneumothorax. We analyzed clinical reviews and treatments, as well as complications of spontaneous hemopneumothorax patients that were treated to aid in the optimal management.
Material and Method: We studied retrospectively 30 cases with spontaneous hemopneumothorax for 11 years, from 1995 to 2006, at our hospital.
Result: All the patients were male and most of the patients were under 30 years. The sides with the disorder were as follows: right in 15 cases and left in 15 cases. Patients showed mostly initial symptoms of chest pain, dyspnea and hypovolemic shock. All patients underwent a closed thoracostomy and 27 patients underwent surgery. Chemical pleurodesis was performed because of postoperative persistent air leakage and one case was treated in the ICU due to re-expansion pulmonary edema. There were no other complications such as fibrothorax seen during the follow-up periods.
Conclusion: The most important finding is proper initial management, as the spontaneous hemopneumothorax can potentially lead to a life-threatening condition. Recently, video assisted thoracoscopic surgery (VATS) is common procedure for general thoracic surgery and overcomes the weak points of performing a thoracotomy. The results of VATS are encouraging.
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KEYWORD
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Hemothorax, Pneumothorax, Thoracoscopy, Fibrothorax
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