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Among the 50 patients with spontaneous pneumothorax evaluated in the study, 41 were males (82%) and nine were females (18%), and the mean age was 33.
Because of the complications of TBB, the rate of pneumothorax was reported to be 6% and the rate of bleeding to be 0-4% in the series conducted in our country (6, 7).
In the case described, rigid bronchoscopy minimized the risk of aspiration of blood and detritus due to continuous flow of gas upward, and avoided the increase of the air leak through the pneumothorax thanks to limited airway pressures, making it a clear indication and utility.
Pneumothorax was divided into spontaneous pneumothorax (an intrapleural air collection in the absence of intubation, positive ventilation, or underlying pulmonary pathology) and secondary pneumothorax (with underlying lung pathology).
Prior to initiation of this study, Institutional Review Board approval was obtained to complete a retrospective medical record review for all patients undergoing thoracotomy or VATS for pneumothorax from January 1, 2000 to January 1, 2013 at the University of Kentucky Chandler Medical Center.
Secondary spontaneous pneumothorax is more serious than primary spontaneous pneumothorax because it decreases the pulmonary function of a patient with already compromised pulmonary function.
The possibility of coexisting pneumothorax and/or pneumomediastinum should also be kept in mind (7).
The incidence rate of primary spontaneous pneumothorax is increasing with recurrence rate of 20-60%, with Male to female ratios 2:1.
A pneumothorax disrupts the visceral-parietal interface, allowing the lung to naturally recoil and surrounding structures to relax.
Diagnosis of pneumothorax is confirmed by an upright posteroanterior chest radiograph, and characterized by a very thin, sharp white line that demarcates the visceral pleural edge as well as radiolucency and lack of lung markings peripheral to this line.
The 34-year-old McLaren driver revealed he suffered a pneumothorax - a partially collapsed lung - as a result of the accident in Melbourne but this had now healed.
It covers embryology, immunology, inflammation, genetics, transcriptomics and proteomics, pharmacokinetics, and experimental models, as well as the approach to patients, pleural fluid analysis, radiology, histology, cytology, effusions due to various causes, tumors, asbestos-related diseases, mesothelioma, pneumothorax, drainage techniques, pleurodesis, medical thoracoscopy, surgery, and gene therapy.