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Management of spontaneous pneumothorax: about 138 cases.

Abstract Pneumothorax is a collection of air in the pleural cavity. We conducted a retrospective study of patients with spontaneous pneumothorax in the Department of Pneumology at the Ibn Sina Hospital in Rabat (2009-2011) with the aim to determine the epidemiological, clinical, radiological, therapeutic and evolutionary manifestation of spontaneous pneumothorax. The study involved 138 patients: 128 men and 10 women (17-83 years), with an average age of 44.5 +/- 17.4 years and sex ratio of 12/8. 81.2% of patients were smokers. Clinical symptomatology was chest pain (92%), dyspnea (60%). Chest radiograph showed total unilateral (110 cases); partial (10 cases); localized (6 cases); bilateral (4 cases); right (51.4%) or left (45.7%) PNO (pneumothorax). During our study period we found that 70% of patients had spontaneous primitive pneumothorax and 30% had PNO secondary to Chronic obstructive pulmonary disease (COPD) (44%) and pulmonary tuberculosis (TB) (39%). Initial management included patients hospitalization, chest drainage (95%), needle exsufflation (1%), rest and O2 (4%). It enables the lung to stick to the chest wall within 10 days in 63% of patients. Evolution was favorable in 89% of patients. Immediate complications included: subcutaneous emphysema (5 cases); infection (6 cases) and 3 deaths (cardiorespiratory arrest). Late complications included: recurrences in 11.6%; the first recurrence occurred in 13 cases (chest drainage in 11 cases and oxygen therapy in 2 cases) while the second recurrence occurred in 3 cases (surgery). This study shows the role of chest drainage and monitoring in the management of pneumothorax to avoid complications and especially to prevent recurrences, with a possible need to resort to surgery.
PMID
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Authors

Mayor MeshTerms
Keywords

Spontaneous pneumothorax

pleural drainage

pleural pathology

treatment

Journal Title the pan african medical journal
Publication Year Start




PMID- 28533875
OWN - NLM
STAT- In-Process
DA  - 20170523
LR  - 20170526
IS  - 1937-8688 (Electronic)
VI  - 26
DP  - 2017
TI  - [Management of spontaneous pneumothorax: about 138 cases].
PG  - 152
LID - 10.11604/pamj.2017.26.152.11437 [doi]
AB  - Pneumothorax is a collection of air in the pleural cavity. We conducted a
      retrospective study of patients with spontaneous pneumothorax in the Department
      of Pneumology at the Ibn Sina Hospital in Rabat (2009-2011) with the aim to
      determine the epidemiological, clinical, radiological, therapeutic and
      evolutionary manifestation of spontaneous pneumothorax. The study involved 138
      patients: 128 men and 10 women (17-83 years), with an average age of 44.5 +/-
      17.4 years and sex ratio of 12/8. 81.2% of patients were smokers. Clinical
      symptomatology was chest pain (92%), dyspnea (60%). Chest radiograph showed total
      unilateral (110 cases); partial (10 cases); localized (6 cases); bilateral (4
      cases); right (51.4%) or left (45.7%) PNO (pneumothorax). During our study period
      we found that 70% of patients had spontaneous primitive pneumothorax and 30% had 
      PNO secondary to Chronic obstructive pulmonary disease (COPD) (44%) and pulmonary
      tuberculosis (TB) (39%). Initial management included patients hospitalization,
      chest drainage (95%), needle exsufflation (1%), rest and O2 (4%). It enables the 
      lung to stick to the chest wall within 10 days in 63% of patients. Evolution was 
      favorable in 89% of patients. Immediate complications included: subcutaneous
      emphysema (5 cases); infection (6 cases) and 3 deaths (cardiorespiratory arrest).
      Late complications included: recurrences in 11.6%; the first recurrence occurred 
      in 13 cases (chest drainage in 11 cases and oxygen therapy in 2 cases) while the 
      second recurrence occurred in 3 cases (surgery). This study shows the role of
      chest drainage and monitoring in the management of pneumothorax to avoid
      complications and especially to prevent recurrences, with a possible need to
      resort to surgery.
FAU - Habibi, Bouchra
AU  - Habibi B
AD  - Service de Pneumologie, CHU Ibn Sina, Rabat, Maroc.
FAU - Achachi, Leila
AU  - Achachi L
AD  - Service de Pneumologie, CHU Ibn Sina, Rabat, Maroc.
FAU - Hayoun, Sohaib
AU  - Hayoun S
AD  - Service de Pneumologie, CHU Ibn Sina, Rabat, Maroc.
FAU - Raoufi, Mohammed
AU  - Raoufi M
AD  - Service de Pneumologie, CHU Ibn Sina, Rabat, Maroc.
FAU - Herrak, Laila
AU  - Herrak L
AD  - Service de Pneumologie, CHU Ibn Sina, Rabat, Maroc.
FAU - Ftouh, Mustapha El
AU  - Ftouh ME
AD  - Service de Pneumologie, CHU Ibn Sina, Rabat, Maroc.
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - La prise en charge du pneumothorax spontane: a propos de 138 cas.
DEP - 20170315
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
PMC - PMC5429453
OTO - NOTNLM
OT  - Spontaneous pneumothorax
OT  - pleural drainage
OT  - pleural pathology
OT  - treatment
COI - Les auteurs ne declarent aucun conflit d'interet.
EDAT- 2017/05/24 06:00
MHDA- 2017/05/24 06:00
CRDT- 2017/05/24 06:00
PHST- 2016/12/17 [received]
PHST- 2017/02/18 [accepted]
AID - 10.11604/pamj.2017.26.152.11437 [doi]
AID - PAMJ-26-152 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Mar 15;26:152. doi: 10.11604/pamj.2017.26.152.11437.
      eCollection 2017.

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