Clinical investigation of bilateral spontaneous pneumothorax
From 1974 to December 1994, among 445 patients who underwent surgical treatment for spontaneous pneumothorax, 54 cases were bilateral spontaneous pneumothorax. Twelve cases occurred synchronously and 42 cases occurred metachronously. The characteristics of bilateral synchronous spontaneous pneumotho...
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Veröffentlicht in: | Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) 1995/11/15, Vol.9(7), pp.813-817 |
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Sprache: | eng |
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Zusammenfassung: | From 1974 to December 1994, among 445 patients who underwent surgical treatment for spontaneous pneumothorax, 54 cases were bilateral spontaneous pneumothorax. Twelve cases occurred synchronously and 42 cases occurred metachronously. The characteristics of bilateral synchronous spontaneous pneumothorax were as follows : 1) There was no difference of frequency according to age group, 2) Most cases were first attacks, 3) Patients had no severe symptoms. The characteristics of bilateral heterochoronous pneumothorax were as follows 1) Frequent occurrence in teenaged patients, 2) Interval between unilateral operation and contralateral pneumothorax was from 5 days in the shortest case through 8 years in the longest case, and there was no removable relation between interval and age. For treatment, bilateral one-stage operation by thoracoscopy may be recommended for bilateral synchronous pneumothorax and the cases of unilateral pneumothorax who had past history of contralateral pneumothorax. For cases of unilateral pneumothorax with no past history of contralateral pneumothorax, however, only the unilateral pneumothorax should be treated and the other side should be treated when and if pneumothorax occurs. |
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ISSN: | 0919-0945 1881-4158 |
DOI: | 10.2995/jacsurg.9.813 |