Volume : V, Issue : VIII, August - 2015

Clinical study of spontaneous pneumothorax

Dr. K. Sailaja, Dr. P. Swetha

Abstract :

Background: Pneumothorax is classified into traumatic and spontaneous. Spontaneous pneumothorax divided into primary spontaneouspneumothorax if there is no clinical evidence of lung disease and secondary spontaneous pneumothorax associated with lung disease. Method: Prospective observational study done at Pulmonary medicine department, Kurnool medical college. We studied the causes, presenting features, management and outcome of Spontaneous Pneumothorax in this study. Patients admitted in pulmonary medicine ward with a diagnosis of spontaneous pneumothorax were classified as primary spontaneous Pneumothorax (PSP) and Secondary spontaneous Pneumothorax (SSP). The diagnosis was made by chest radiograph, and computed Tomography if necessary. Necessary investigations done for confirmation of lung disease in SSP. Depending on clinical features, extent of pneumothorax and underlying lung disease management decided as observation with oxygen inhalation or aspiration or Intercostal ChestTube Drainage (ICTD) with under water seal. Supportive treatment given to all patients and Specific treatment for underlying lung disease given in SSP. Results : Total 69 patients were included in this studymales were more 48(69.6%). Mean age was 44.9 yrs( range 20 to 70 yrs). Out of 69 PSP were 10 (14.5%) and SSP were 59(85.5%). Lung diseases in SSP were Tuberculosis 33, Chronic obstructive pulmonary (COPD) disease 20, Asthma 2, interstial lung diseases 2 and pneumonia2. Treated with observation and oxygen inhalation 4 , with aspiration10 and with ICTD 55.In PSP cases lung expansion occurredin 2 to 8 days. In SSP cases lung expansion occurred in 4 – 30 days.4 cases of SSP referred for surgery. Conclusion:Spontaneous Pneumothorax is more common in males.In majority of PSP dyspnoea is less, can be managed by observation with oxygen inhalation or by aspiration.Tuberculosis is the common cause for SSP in India and should be looked for in all spontaneous pneumothorax cases. Majority cases of SSP are managed by ICTD. Compared to SSP hospital stay in PSP is short

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. K. Sailaja, Dr. P. Swetha Clinical Study of Spontaneous Pneumothorax Indian Journal of Applied Research, Vol.5, Issue : 8 August 2015

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