Is total collapse a good sign for treatment process of Spontaneous pneumothorax? Total Kollaps Spontan Pnömotoraksın Tedavi Süreci için İyi Bir İşaret midir?


Yazkan R., HAN S. , Sakinci Ü.

Journal of Clinical and Analytical Medicine, vol.3, no.1, pp.14-17, 2012 (Journal Indexed in ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 3 Issue: 1
  • Publication Date: 2012
  • Doi Number: 10.4328/jcam.448
  • Title of Journal : Journal of Clinical and Analytical Medicine
  • Page Numbers: pp.14-17
  • Keywords: Spontaneous, Pneumothorax, Lung, Collapse

Abstract

Aim: We aimed to investigate possible effects of total collapse on early reexpansion of lung, early cessation of air leak, chest tube withdrawal time and early discharge. Material and Method: A retrospective analysis of 74 consecutive patients treated for Spontaneous pneumothorax was evaluated. Patients' data including age, sex, localization and percentage of pneumothorax, presence of bullous lesions, duration of symptoms and time lengths for cessation of air leaks, lung re-expansion, chest tube withdrawal and discharge was collected and statistically analyzed. Results: There was a significantly shorter pneumothorax duration in total collapse patients (p<0.001). Following the treatment, significantly shorter time lengths were further observed in total collapse patients on lung expansion time (p<0.001), air leak cessation time (p<0.001), chest tube withdrawal time (p<0.001) and discharge time (p<0.001). Discussion: Our results have suggested that shorter duration of pneumothorax without pleural thickening may provide rapid re-expansion of the lungs in the spontaneous pneumothorax patients with total collapse. Severe lung tissue collapse and high intra-pleural air pressure together may result with closure of the perforated bullous lesion.