Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
Journal website http://www.jocmr.org |
Original Article
Volume 3, Number 3, June 2011, pages 111-117
Spontaneous Pneumothorax: A 5-Year Experience
Tables
Type of SP | Total | Gender | Mean age (pattern deviation) | |
---|---|---|---|---|
% | Male % | Female % | Years | |
Primary SP | 63.6 | 76.2 | 23.8 | 30.1 (± 15.2) |
Secondary SP | 36.4 | 83.3 | 16.7 | 48.5 (± 21.6) |
Pulmonary disease | N |
---|---|
Lung emphysema not related to smoking | 3 |
Idiopathic pulmonary fibrosis | 3 |
COPD | 4 |
Asthma | 2 |
Lung cancer primary/secondary neoplasia | 5 |
Sarcoidosis | 1 |
History of Pulmonary Tuberculosis/Pulmonary Tuberculosis sequels | 9 |
Bronchiectasis | 2 |
Cystic fibrosis | 2 |
Type of activity | N | % |
---|---|---|
Rest | 29 | 31.2 |
Coughing | 5 | 5.3 |
Effort (type not specified) | 2 | 2.2 |
Work activity (type not specified) | 3 | 3.2 |
Upon waking up | 5 | 5.3 |
Respiratory Cinesitherapy | 1 | 1.1 |
Not mentioned | 48 | 51.6 |
Total | 93 | 100 |
Symptoms | N | % | |
---|---|---|---|
Pain | Ipsilateral | 74 | 79.6 |
Retrosternal | 6 | 6.4 | |
Posterior | 1 | 1.1 | |
Location not described | 3 | 3.2 | |
Dyspnea | Grade I | 8 | 8.6 |
Grade II | 8 | 8.6 | |
Grade III | 4 | 4.3 | |
Grade IV | 14 | 15 | |
Non-characterized | 20 | 21.5 | |
Dry cough | 40 | 43 | |
Asymptomatic | 1 | 1.1 | |
Signs | |||
Tachypnea | 35 | 37.6 | |
Tachycardia | 26 | 28 | |
Hypertension | 16 | 17.2 | |
Hypotension | 2 | 2.2 | |
Desaturation | 11 | 11.8 | |
Decreased breath sounds | 76 | 81.7 | |
Hyper-resonance | 11 | 11.8 | |
Subcutaneous emphysema | 6 | 6.6 |
N | % | |
---|---|---|
Normal | 32 | 34.4 |
Hypoxemia | 12 | 12.9 |
Respiratory failure type 1 | 10 | 10.8 |
Respiratory failure type 2 | 4 | 4.3 |
Not conducted/not recorded | 35 | 37.6 |
Type of treatment | N | % | ||
---|---|---|---|---|
Analgesia | 84 | 90.3 | ||
Oxygen therapy | 86 | 92.5 | ||
Observation | 12 | 12.9 | ||
Simple aspiration | 7 | 7.5 | ||
Chest tube | 80 | 86 | ||
Chemical pleurodesis | 1 | 1.1 | ||
Type of surgery (elective and non-elective) | ||||
Thoracotomy | Bullectomy | 3 | 8 | 8.6 |
Lobectomy | 3 | |||
Atypical | 2 | |||
Simple Thoracoscopy | 1 | 1.1 | ||
Video Assisted Thoracoscopy | Bullectomy | 5 | 19 | 20.4 |
Lobectomy | 2 | |||
Atypical | 10 | |||
Unknown | 2 |
Complication | N | % |
---|---|---|
Pain at the insertion site | 25 | 28.7 |
Infection on the insertion site | 2 | 2.3 |
Hemorrhage/hemothorax | 3 | 3.4 |
Hypotension | 2 | 2.3 |
Subcutaneous emphysema | 6 | 6.9 |
Malfunction of chest tube | 15 | 17.2 |