Κατεύθυνση Καρκίνος Πνεύμονα: Σύγχρονη Κλινικοεργαστηριακή Προσέγγιση και Έρευνα
Library of the School of Health Sciences

2016-07-14

2016

Κλήμη -Στύλλου Λιουλιέτα

Καθηγητής ΕΚΠΑ επιβλέπων Τόμος Περικλής

Αναδρομική καταγραφή (23) είκοσι τριών ασθενών με πνευμοθώρακα : αιτιολογία επιδημιολογία

Greek

ABSTRACT

BACKGROUND
Pneumothorax can be a medical emergency requiring early diagnosis and treatment
to prevent subsequent respiratory failure. It’s an entity with considerable
incidence and treatment particularities which give reason for a reflection on
the subject.
OBJECTIVE
The purpose of this work is to record and evaluate the epidemiology and
etiology of pneumothorax in 23 cases.
MATERIAL AND METHOD
Between June 2012 and December 2015 were treated at the Thoracic and
Cardiovascular Surgery Department 23 patients with pneumothorax. According to
the etiology of pneumothorax was classified in three groups like spontaneous ,
iatrogenic and traumatic pneumothorax.
RESULTS
The types of pneumothorax were spontaneous in 43,5%(n=10) of patients;
21,75%(n=5) )were primary and 21,75% (n=5) secondary, traumatic in 13%(n=3) and
iatrogenic in 43,5%(n=10) of patients. 69,56%(n=17) were men and 30,44%(n=6)
were women and the mean age was 56,3 years old. The male gender was the
prevailing with a ratio 2:1(male:female). 52,19% (n=16) of patients were
smokers and 43,5% (n=10) of these patients were male.
The rate of males who had current or past history of tobacco use was
significantly higher than the rate of females who smoke. The most common
symptoms were dyspnoea with pleuritic chest pain. The most common cause of
iatrogenic pneumothorax was central venous catheter. Tube thoracostomy is
applied to 91%(n=21) of patients;surgery is applied to 2 patients and 2
patients were discharged with conservative treatment.
CONCLUSIONS
Our results are similar to the literature. Sex and age are strong determinant
factors of the occurrence and course of spontaneous pneumothorax.
Also we conclude that the iatrogenic pneumothorax have a substantial
morbidity.

Pneumothorax, Spontaneous, Iatrogenic, Traumatic, Epidemiology

No

0

Yes

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