Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Clinical Evaluation of Spontaneous Pneumothorax -A Review of 244 Cases-

자연 기흉의 임상적 고찰 -244례-

  • Published : 1994.04.01
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Abstract

From March, 1985, to June, 1993, 244 patients with 345 episodes of spontaneous pneumothorax treated at Koryo General Hospital were reviewed. Most of the patients were male, and the ratio of male to female was 8:1. The average age of the patients with spontaneous pneumothorax was 32.8 years old. The site of pneumothorax was revealed left side in 53.3%, right side in 42.6%, and bilateral in 4.1%. The cause of pneumothorax were shown primary spontaneous pneumothorax in 73.4%, and secondary spontaneous pneumothorax in 26.6%. The underlying pathologic lesion in secondary spontaneous pneumothorax showed pulmonary tuberculosis in 56patients[86.1%], COPD in 4patients[6.2%], bronchial asthma in 2patients[3.1%], lung cancer in 2patients[3.1%], and pneumoconiosis in a patient[1.5%]. The usual clinical symptomes were dyspnea, chest pain and chest discomfort. Recurrence rate was as follow; 2nd episode 33.6%, 3rd episode in 26.8%, and above in 4th episode in 18.2%. All the patient of pneumothorax was treated as following; Closed thoracostomy tube drainage in 127patients, bullectomy in 88patients, lobectomy in 5patients, wedge resection in 2patients, conservative treatment with oxygen therapy in 21patients, and video assisted thoracoscopic bullectomy in a patient. The course of treatment of all of the patients were smooth and uneventful.

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References

  1. 대한내과학회잡지 v.14 자연기흉 환자의 임상적 고찰 김성규;이원영;함성숙;김기호
  2. Dis Chest v.42 A study of pathogenesis and management of spontaneous pneumothorax Bernhard,W.F.;Malcom,J.A.;Berry,R.W.;Wylie,R.H.
  3. Z Path v.16 Uber Ortlichen Pneumothorax durch Infarkt und Emphysem, Frankfurt Hayashi,J.
  4. F Klin Med v.95 Der gutartige Spontaneous Pneumothorax durch Ruptur von Spitzennarbenblasen:Ein Typisches Krank heitsild, Ztschr Fischer,B.
  5. Am Rev Tbc v.72 Spontaneous pneumothorax. A Review with the Result of Pulmonary Resection in Nineteen Patients Ehrenhaft,J.L.;Taber,R.E.;Lawrence,M.S.
  6. 대흉외지 v.15 자연기흉의 임상적 고찰(360 례) 장정수;이두연;박영식;조범구
  7. 대흉외지 v.15 자연기흉 101 례에 대한 임상적 고찰 노준량;이은석;이영;김종환;서경필;이영균
  8. 충남의대잡지 v.4 자연기흉 38 례에 대한 임상적 고찰 이영
  9. 대흉외지 v.24 자연기흉의 임상적 고찰 오창근;임진수
  10. 대흉외지 v.21 자연기흉의 임상적 고찰 권우석;김학제;김형묵
  11. Thorax v.21 Conservative management of spontaneous pneumothorax Sturadling,P.;Poole,G.
  12. Ann Intern Med v.33 Spontaneous pneumothorax Contrast of benign idiopathic and tuberculous type Hyde,B.;Hyde,L.
  13. Surgery of the Chest(5th ed.) Sabiston,D.C.;Spencer,F.C.
  14. 대흉외지 v.17 자연기흉의 외과적 고찰. 310례의 임상고찰 김삼현;오상준;정원상(등)
  15. Dis Chest v.48 Spontaneous pneumothorax Lynn,R.B.
  16. Am J Surg v.124 Fitchettspontaneous pneumothorax Clark,T.A.;Hutchison,D.E.;Deaner,R.M.
  17. J Thoracic and Cardiovasc Surg v.46 Spontaneous pneumothorax Gobbel,W.G.;Daniel,R.A.
  18. Surg Gynecol Obstet v.102 Pariental pleurectomy for recurrent spontaneous pneumothorax Gaensler,E.A.
  19. Thorax v.22 Survey of spontaneous pneumothoraces in the Royal Air Force Cran,I.R.;Rumball,C.A.