A Clinical Investigation of Spontaneous Pneumothorax

Shin, Woo Jong; Kim, Ji Woon; Jang, Young Bok; Kim, Kwi Wan; Huh, Kie Suk; Yoon, Suk Hee; Kim, Kook Yung

doi:1982.29.1.22

Tuberc Respir Dis > Volume 29(1); 1982 > Article

Original Article

Tuberculosis and Respiratory Diseases 1982;29(1):22-29.
DOI: https://doi.org/10.4046/trd.1982.29.1.22 Published online March 1, 1982.

A Clinical Investigation of Spontaneous Pneumothorax

Woo Jong Shin, Ji Woon Kim, Young Bok Jang, Kwi Wan Kim, Kie Suk Huh, Suk Hee Yoon, Kook Yung Kim

Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea

자연기흉의 임상적 관찰

신우종, 김지운, 장영복, 김귀완, 허기석, 윤석희, 김국융

Abstract

The authors reviewed 124 patients of spontaneous pneumothorax who were treated in Jeonju Presbyterian Medical Center from 1970 to 1981. The following results were obtained: 1) Male was more frequently affected than female, and the ratio was 3.1: 1. 2) The incidence was highest in the age group from 30 to 59 (64. 5%). 3) The most common underlying cause was pulmonary tuberculosis(70. 2%), the next was unknown etiology (13.7%), and the third was pneumonia (8. 9%). 4) In tuberculous group, pneumothorax was more common in active tuberculosis (82.3%) than inactive or activity unknown cases, and more common in far advanced cases (79.3%) than minimal or moderately advanced cases. 5) The success rate of the various methods of treatment was as follows: bed rest 45.1%, needle aspiration 50.0% and closed thoracotomγ 84.8%. Mean duration for complete reexpansion of collapsed lung in above methods was 8.2 days, 7 days and 4.7 days respectively.