Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Treatment of Spontaneous Pneumothorax; in Patients 50 Years of Age or Older

노인성 자연 기흉의 치료방법 및 그 결과;50세 이상환자 60례 대상

  • Published : 1993.07.01
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Abstract

To assess the therapy of spontaneous pneumothorax in the aged patients, the treatment methods and results in 60 patients 50 years of age or older were retrospectively reviewed. Most of the patients were male [56 of 60 patients] and the major underlying lung diseases associated with spontaneous pneumothorax were tuberculosis [32 patients] and chronic obstructive lung disease [20 patients]. The recurrence rate of thoracostomy tube drainage with or without chemical pleurodesis using tetracycline was 39.6% [21 of 53 patients], but there was no recurrence in the patients treated with open thoracotomy, pleural abrasion, and chemical pleurodesis using talcum powder[Asbestosis free]. In the patients treated with open thoracotomy, the bullous or bleb lesions were placed in the various sites of both lungs. We concluded that even though thoracostomy tube drainage is the first choice of therapy for spontaneous pneumothorax in the aged patients, the recurrence rate is high, especially in the patients with persistent air leakage for more than 2 days, and the open thoracotomy with pleural abrasion and chemical pleurodesis using talcum powder can prevent the recurrence in the selected patients.

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References

  1. Surgery of the chest(5th ed.) The pleura DeMeester,T.R.;Lafontaine,E.;Sabiston,D.C.;Spencer,F.C.
  2. General thoracic surgery(3rd ed.) Bullous and bleb disease of the lung Deslauriers,J.;Leblanc,P.;McClish,A.;Shields,T.W.
  3. J Thorac Cardiovac Surg v.86 Prediction of postoperative pulmonary function following thoracic operations : valve of ventilation-perfusion scanning Bria,W.F.;Kanarek,D.J.;Kazemi,H.
  4. Ann Thorac Surg v.55 Secondary spontaneous pneumothorax Tanaka,F.;Itoh,M.;Esaki,H.;Isobe,J.;Ueno,Y.;Inoue,R.
  5. 대흉외지 v.21 자연기흉의 임상적 고찰 권우석;김학제;김형묵
  6. 대흉외지 v.20 자연기흉의 개흉술 적응과 수술성적에 관한 연구 이재원;김근호
  7. 대흉외지 v.24 재발성 자연기흉 101례에 관한 임상적 고찰 박종원;정신현;이양행;황윤호;조건현
  8. JAMA v.234 Pneumothorax complicating pulmonary emphysema George,R.B.;Herbert,S.J.;Shames,J.M.;Ellithorpe,D.B.;Weil,H.;Ziskind,M.M.
  9. Arch Surg v.126 Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax Schoenenberger,R.A.;Haefeil,W.E.;Weiss,P.;Ritz,R.F.
  10. JAMA v.241 Intrapleural tetracycline for spontaneous pneumothorax Gldszer,R.C.;Bennett,J.;VanCampen,J.
  11. Chest v.83 Intrapleural tetracycline for recurrent pneumothorax Tassi,G.F.
  12. Chest v.77 Recurrent spontaneous pneumothorax : an effective method of talc poutrage Nandi,P.
  13. Pleural diseases : pneumothorax(2nd ed.) Light,R.W.
  14. Am J Surg v.120 Surgical management of spontaneous pneumothorax by bleb ligation and pleural dry sponge abrasion Youmans,C.R.;Williams,R.D.;McMinn,M.R.;Derrick,J.R.
  15. Thorax v.38 Surgical experience in the management of spontaneous pneumothorax, 1972-82 Weeden,D.;Smith,J.H.
  16. Thorax v.28 Chest wall tumor following iodized talc pleurodesis Jackson,J.W.;Bennet,M.H.
  17. BR J Dis Chest v.73 A survey of the long-term effects of talc and kaolin pleurodesis Research of Committee of the British Thoracic Association
  18. Textbook of surgery(14th ed.) The pleura and empyema Scott,S.M.;Sabiston,D.C.