Article

Spontaneous hemopneumothorax

The Chinese University of Hong Kong, Hong Kong, 00, Hong Kong
Current opinion in pulmonary medicine (Impact Factor: 2.76). 08/2006; 12(4):273-7. DOI: 10.1097/01.mcp.0000230631.11257.b9
Source: PubMed

ABSTRACT

Spontaneous hemopneumothorax can be life threatening, and is a cause of patients presenting with unexplained signs of significant hypovolemia. The debate relating to patient selection and timing of surgery in patients with spontaneous hemopneumothorax remains unresolved.
Our experience together with the latest series published over the last decade on the conservative and surgical management of spontaneous hemopneumothorax are presented and discussed.
Surgery should be performed early in the management of spontaneous hemopneumothorax to reduce morbidity. In particular, video-assisted thoracic surgery, which is associated with potentially fewer post-operative complications and shorter hospital stays compared with thoracotomy, should be considered in patients with spontaneous hemopneumothorax who are hemodynamically stable.

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