Resumen

SOSA MARTIN, Gimel. Algorithm for treatment of traumatic pneumothorax: ten-years experience. Rev Cubana Cir [online]. 2010, vol.49, n.4, pp. 29-36. ISSN 1561-2945.

INTRODUCTION. The proceed in the face of a pneumothorax has as fundamental objectives the symptoms relief and to avoid the complications typical of this entity. The treatment could be of conservative type up to the pleural resection depending on the cause, its intensity, symptoms of patient, and associated diseases. The objective of present paper was to analyze the behavior of he spontaneous and traumatic pneumothorax and also to assess its treatment. METHODS. A multi-center study was conducted using analytical, descriptive, retrospective and prospective, cross-sectional elements in 154 patients with clinical, radiological diagnosis of the pneumothorax seen between October, 1998 and December, 2008, following the work algorithm designed for this aim. Study sample included 154 patients. RESULTS. In present study there was predominance of male sex, smoking and the type of traumatic pneumothorax. The minimal pleurotomy was effective in the 94,8% of patients. The traumatic pneumothorax were 126 (81,2%). From these, 120 (77,9%) were caused by firearms wounds and contusions and six were of iatrogenic type (3,8%. The more frequent complication after pleurotomy was the pleural tube obstruction. CONCLUSIONS. The medical treatment, indifferent minimal pleurotomy, the high minimal pleurotomy and the chemical pleurodesis had a effectiveness between the 90 and the 100%. There was predominance of several types of traumatic pneumothorax In this series, thoracotomy indications were due to a persistent, traumatic, relapsing pneumothorax.

Palabras clave : Algorithm; traumatic pneumothorax; pleurotomy; chemical pleurodesis.

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