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Revista Cubana de Cirugía

versión impresa ISSN 0034-7493versión On-line ISSN 1561-2945

Resumen

BARRERA ORTEGA, Juan C et al. Treatment of spontaneous pneumothorax in our setting. Rev Cubana Cir [online]. 2005, vol.44, n.1. ISSN 0034-7493.

In order to determine the conduct to be followed with the spontaneous pneumothorax, a descriptive, prospective, cross-sectional study was undertaken among 125 patients with diagnosis of spontaneous pneumothorax that received attention at “Comandante Manuel Fajardo” Teaching Hospital from January 1998 to July 2003. 62.4 % of the cases studied corresponded to primary pneumothorax and the rest to secondary pneumothorax. There was predominance of early ages and of males. The latter at a ratio of 14:1. The most reported symptoms were pain, dyspnea, and cough. 88,8 % of the patients were smokers. Pleurotomy was the definitive treatment in 65.8 % of the patients and it was efficient in 85.6 %. Thoracotomy was necessary in 29.4 % of the cases due to the presence of persistent, recidivant pneumothorax and bullae. There was no surgical mortality. We concluded that the conduct to be followed with pneumothorax depends on the magnitude, clinical repercussion, etiology, need to prevent relapse and the evaluation of the surgical risk

Palabras clave : Spontaneous pneumothorax.

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