Anka Tıp Dergisi

Yazarlar: Gökbay TEMİZ, Müge GÜLEN, Göktan TEMİZ, Selen ACEHAN, Akkan AVCİ, Salim SATAR

Konular:Acil Tıp

Anahtar Kelimeler:Emergency Department,Chronic Obstructive Pulmonary Disease,Secondary Spontaneous Pneumothorax,Smoke

Özet: Aim: This study aimed to evaluate clinical characteristics, smoking habits, treatment protocols and outcomes of patients diagnosed with Spontaneous Secondary Pneumothorax due to Chronic Obstructive Pulmonary Disease. Material and Methods: This retrospective study was performed between December 01, 2012 and October 1, 2016, in the emergency department of a tertiary care hospital. Patients who were were diagnosed as Spontaneous Secondary Pneumothorax due to Chronic Obstructive Pulmonary Disease and hospitalized included in the study. The collected data were analyzed retrospectively.  Results: A total of 62 patients over 40 years of age with the diagnosis of secondary spontaneous pneumothorax due to chronic obstructive pulmonary disease were evaluated. 87.1 % (n = 54) of the patients were male and 12.9 % (n = 8) were female. The mean age of the patients was 61,4+11,3 years. The side of the pneumothorax was found to be right side in 67.7 % (n: 42) and the left side in 32.3% (n: 20) of the patients.  Conclusion: Spontaneous Secondary Pneumothorax due to Chronic Obstructive Pulmonary Disease requires urgent diagnosis and treatment because of its high mortality rate. Tube thoracostomy should be considered as the first choice in the treatment. While planning the treatment of these patients, the general condition of the patient, the first or recurrence of pneumothorax, and the underlying lung disease should be taken into consideration.

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