A clinical evaluation was performed on 56 patients(60 cases) of open thoracotomy in spontaneous pneumothorax who were admitted and treated at department of Thoracic and Cardiovascular Surgery, Chung Ang University, Yong San Hospital during the
past
3
year from March 1990 to February 1993.
@ES The results were as follows.
@EN 1. The sex ratio was male predominence(M:F=7:1).
2. The most common age group were 2nd, 3rd decades.
3. The most common chief complaints were dyspnea and chest pain(46.3%).
4. The etiologic factors of spontaneous pneumothorax were primary spontaneous pneumothorax(78.3%), secondary tuberculosis(18.3%), and others(3.4%).
5. The site of spontaneous pneumothorax was 50% in right, 40% in left, and 10% in both.
6. The state of activity on attack was almost in the usual life(98.3%).
7. Average height was 172.5*5.39cm in male and 164. 0*3.51 cm in female, average weight was 59.1*7.06 kg in male and 52.0*4.97kg in female.
8. The common indications of open thoracotomy were recurrence(34.4%) and persistent air leakage(17.8%).
9. The operative procedures were bullectomy(73.3%). Partial resection(11.7%), lobectomy(11.7%), and others(3.3%).
10. The most frequent location of bulla or bleb were apical segment of RUL(43.3%) and apicoposterior segment of LUL(40.0%).
11. The number of visible bulla or bleb were mainly 1 to 5, and size was about 1 to 3cm. (Korean J Thoracic Cardiovas Surg 1994; 27:470-474)
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