title: Spontaneous massive haemopneumothorax: case reports.
abstract: Spontaneous haemopneumothorax is an infrequently reported entity. We report here on two patients with spontaneous haemopneumothorax complicated by massive haemorrhage. Sources of bleeding were caused by torn pleural adhesion and ruptured apical bullae. Inappropriate management can lead to an increase in mortality and morbidity. We emphasize the importance of close monitoring, early recognition, prompt resuscitation and thoracotomy because of the possible lethal implications.
authors.affiliation: Accident and Emergency Department, North District Hospital, Sheung Shui, New Territories, Hong Kong. chungpor@netvigator.com
authors.forename: Ng Chung
authors.initials: NC
authors.lastname: Por
authors.forename: Chau Luen
authors.initials: CL
authors.lastname: Fai
authors.forename: Chung Chin
authors.initials: CC
authors.lastname: Hung
mesh_terms: D000328:Adult; D001768:Blister / Q000209:etiology / Q000628:therapy; D004322:Drainage / Q000379:methods; D006468:Hemopneumothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000209:etiology / Q000628:therapy; D013902:Radiography, Thoracic; D012151:Resuscitation / Q000379:methods; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D012907:Smoking / Q000009:adverse effects*; D013908:Thoracotomy; D016896:Treatment Outcome