Spontaneous pneumothorax
Introduction: Spontaneous pneumothorax is the most frequent cause of urgent admission to thoracic surgery services. Objective: To characterize patients admitted with a diagnosis of spontaneous pneumothorax. Methods: A descriptive study of 93 patients with a clinical and radiological diagnosis of s...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2021-07-01
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| Series: | Revista Cubana de Medicina Militar |
| Subjects: | |
| Online Access: | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1414 |
| _version_ | 1818720345483378688 |
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| author | Lazaro Lorda Galiano María Lourdes Hernández Echevarría Abraham Ismael Beato Canfux Mario Jarquín Caceres Manuel Ceballos Hernández Yisel del Carmen Hernández Vázquez |
| author_facet | Lazaro Lorda Galiano María Lourdes Hernández Echevarría Abraham Ismael Beato Canfux Mario Jarquín Caceres Manuel Ceballos Hernández Yisel del Carmen Hernández Vázquez |
| author_sort | Lazaro Lorda Galiano |
| collection | DOAJ |
| description | Introduction: Spontaneous pneumothorax is the most frequent cause of urgent admission to thoracic surgery services.
Objective: To characterize patients admitted with a diagnosis of spontaneous pneumothorax.
Methods: A descriptive study of 93 patients with a clinical and radiological diagnosis of spontaneous pneumothorax was carried out, the study variables were established and absolute frequencies and percentages were used. For the association of the variables, the chi square statistic was used with a confidence level of 95 %.
Results: Primary spontaneous pneumothorax predominated (65,5 %), the male sex was the most affected (80,6 %), with greater frequency in the right hemithorax (72,2 %) and smoking as the antecedent (83,9 %). Minimal pleurostomy was the definitive treatment in 72 % of the patients. The most frequent complication after pleurostomy was persistent air leak. Surgical treatment with mechanical pleurodesis offered 100% effectiveness. There was not surgical mortality.
Conclusions: Spontaneous pneumothorax predominated in males in a ratio of 4.2: 1, in patients under 40 years of age. The most associated personal pathological history was chronic obstructive pulmonary disease. The predominant symptom was chest pain. Primary spontaneous pneumothorax was more frequent and the right hemithorax the most affected. Smoking was present as a history in both types of spontaneous pneumothorax. The most widely used treatment modality was minimal pleurostomy. |
| first_indexed | 2024-12-17T20:21:22Z |
| format | Article |
| id | doaj.art-3bae35afc76d41eabc3878dc6350a693 |
| institution | Directory Open Access Journal |
| issn | 1561-3046 |
| language | Spanish |
| last_indexed | 2024-12-17T20:21:22Z |
| publishDate | 2021-07-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj.art-3bae35afc76d41eabc3878dc6350a6932022-12-21T21:33:55ZspaECIMEDRevista Cubana de Medicina Militar1561-30462021-07-01503e02101414e02101414441Spontaneous pneumothoraxLazaro Lorda Galiano0María Lourdes Hernández Echevarría1Abraham Ismael Beato Canfux2Mario Jarquín Caceres3Manuel Ceballos Hernández4Yisel del Carmen Hernández Vázquez5Universidad de Ciencias Medicas de las Fuerzas Armadas RevolucionariasHospital Militar Central "Dr. Carlos J. Finlay". La Habana. Cuba.Universidad de Ciencias Médicas de las Fuerzas Armadas Revolucionarias. La Habana, Cuba.Hospital “Leopoldito Martínez”. San José, Mayabeque, Cuba.Hospital Militar Central "Dr. Carlos J. Finlay". La Habana. Cuba.Hospital Militar Central "Dr. Luis Díaz Soto". La Habana, Cuba.Introduction: Spontaneous pneumothorax is the most frequent cause of urgent admission to thoracic surgery services. Objective: To characterize patients admitted with a diagnosis of spontaneous pneumothorax. Methods: A descriptive study of 93 patients with a clinical and radiological diagnosis of spontaneous pneumothorax was carried out, the study variables were established and absolute frequencies and percentages were used. For the association of the variables, the chi square statistic was used with a confidence level of 95 %. Results: Primary spontaneous pneumothorax predominated (65,5 %), the male sex was the most affected (80,6 %), with greater frequency in the right hemithorax (72,2 %) and smoking as the antecedent (83,9 %). Minimal pleurostomy was the definitive treatment in 72 % of the patients. The most frequent complication after pleurostomy was persistent air leak. Surgical treatment with mechanical pleurodesis offered 100% effectiveness. There was not surgical mortality. Conclusions: Spontaneous pneumothorax predominated in males in a ratio of 4.2: 1, in patients under 40 years of age. The most associated personal pathological history was chronic obstructive pulmonary disease. The predominant symptom was chest pain. Primary spontaneous pneumothorax was more frequent and the right hemithorax the most affected. Smoking was present as a history in both types of spontaneous pneumothorax. The most widely used treatment modality was minimal pleurostomy.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1414neumotórax espontáneopleurostomíatabaquismo. |
| spellingShingle | Lazaro Lorda Galiano María Lourdes Hernández Echevarría Abraham Ismael Beato Canfux Mario Jarquín Caceres Manuel Ceballos Hernández Yisel del Carmen Hernández Vázquez Spontaneous pneumothorax Revista Cubana de Medicina Militar neumotórax espontáneo pleurostomía tabaquismo. |
| title | Spontaneous pneumothorax |
| title_full | Spontaneous pneumothorax |
| title_fullStr | Spontaneous pneumothorax |
| title_full_unstemmed | Spontaneous pneumothorax |
| title_short | Spontaneous pneumothorax |
| title_sort | spontaneous pneumothorax |
| topic | neumotórax espontáneo pleurostomía tabaquismo. |
| url | http://www.revmedmilitar.sld.cu/index.php/mil/article/view/1414 |
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