[Spontaneous pneumothorax. Apropos 2507 cases].
This retrospective study of 2,507 cases of spontaneous pneumothorax (SP) involves 1,873 patients treated at our hospital over nearly 20 years. Men represented 92.4% and most patients were between 16 and 30 years old (56.2%). Presenting more than one episode were 29.7%. The treatment of choice was placement of a pleural drain whenever SP had led to lung collapse amounting to more than 10% of volume. Thoracotomy was performed when the patient had experienced three or more episodes of SP; when a pleural drain had not resolved the condition 10 days after placement; in hemo-SP with severe hemorrhage; and in 2 cases in which SP was bilateral. A total of 419 thoracotomies were performed on 384 patients (20.7%). All episodes were resolved and complications were few. Six patients died (0.32%), three following thoracotomy. All of these had antecedents of chronic obstructive lung disease and all were over 70, excepting one who was 56.
Teixidor Sureda
J
J
Servicio de Cirugía Torácica, Hospital General de la Vall d'Hebron, Barcelona.
Estrada Salo
G
G
Sole Montserrat
J
J
Astudillo Pombo
J
J
Barbera Salva
J
J
Maestre Alcacer
J A
JA
Serrano Segui
M
M
Aguilera Mas
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010994:Pleura; D011030:Pneumothorax / Q000145:classification / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D011677:Punctures; D012008:Recurrence; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D013908:Thoracotomy
Neumotórax espontáneo. A propósito de 2.507 casos.