1.Report of a case with Potter's syndrome.
Chinese Journal of Pediatrics 2004;42(7):556-556
2.Predisposing factors, incidence and mortality of pneumothorax in a neonatal intensive care unit in Isfahan, Iran.
Fakhri NAVAEI ; Banafshe ALIABADI ; Masoud MOGHTADERI ; Roya KELISHADI
Chinese Journal of Contemporary Pediatrics 2010;12(6):417-420
OBJECTIVETo assess the predisposing factors, frequency and mortality of pneumothorax (PTX) among the newborns hospitalized in a neonatal intensive care unit (NICU) in Isfahan, Iran.
METHODSThe data of 43 cases of PTX among the 738 neonates hospitalized in the NICU were analyzed retrospectively according to gestational age, birth weight, Apgar score, type of delivery, age of mother, parity, perinatal asphyxia, resuscitation at birth, side of PTX, mechanical ventilation, surfactant therapy, and underlying lung disorders.
RESULTSMean gestational age was 31 weeks and birth weight was 1 596 g in the PTX cases. The gestational age of 12 (28%) neonates was less than 28 weeks. Twenty-eight (65%) neonates were below 1,500 g. In total, PTX occurred in 43 (5.8%) neonates. Sixty-three episodes of PTX (97%) were unilateral and 2 (3%) were bilateral. Respiratory distress syndrome (RDS) (40/43, 93%) and mechanical ventilation (37/43, 86%) were common predisposing factors of PTX. Overall, 28 (65%) neonates with PTX died. Birth weight, gestational age and chest tube duration were significantly different between dead and surviving infants. The mortality rate was significantly higher in neonates who required surfactant therapy than that in those who did not require it.
CONCLUSIONSThe incidence and mortality of PTX in this study were higher than some other reports and this might be attributed to lower birth weight and gestational age. RDS and mechanical ventilation were the most common predisposing factors for the development of neonatal PTX, and mortality increased with lower birth weight, lower gestational age and more severe underlying primary lung disease.
Humans ; Incidence ; Infant, Newborn ; Intensive Care Units, Neonatal ; Iran ; epidemiology ; Pneumothorax ; epidemiology ; etiology ; mortality ; Retrospective Studies
3.Clinical analysis of silicosis complicated with spontaneous pneumothorax on silica brick production industry.
Chinese Journal of Industrial Hygiene and Occupational Diseases 2013;31(11):866-867
Adult
;
Female
;
Humans
;
Male
;
Middle Aged
;
Occupational Exposure
;
analysis
;
Pneumothorax
;
complications
;
etiology
;
Silicon Dioxide
;
analysis
;
Silicosis
;
complications
;
etiology
4.Intrathoracic drainage in treatment of 43 coal worker's pneumoconiosis patients with pleural effusion and pneumothorax.
Wei GAO ; Feng LI ; Shu-hai WU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2007;25(10):618-619
Aged
;
Anthracosis
;
complications
;
Catheterization
;
Drainage
;
methods
;
Humans
;
Male
;
Middle Aged
;
Pleural Effusion
;
etiology
;
therapy
;
Pneumothorax
;
etiology
;
therapy
;
Retrospective Studies
5.Clinical analysis of pneumomediastinum or pneumothorax during the removal of brochial foreign bodies.
Yao-yun TANG ; Jian-yun XIAO ; Su-ping ZHAO ; Ji-wei LIU ; Xiang-e TIAN ; Jing XU
Journal of Central South University(Medical Sciences) 2006;31(3):441-443
OBJECTIVE:
To discuss the etiology, diagnosis, treatment, and prevention of pneumomediastinum or pneumothorax during the removal of bronchial foreign bodies in children.
METHODS:
We analyzed the clinical data of 10 cases of pneumomediastinum or pneumothorax during the removal of bronchial foreign bodies in children.
RESULTS:
Two patients died and the other 8 were cured.
CONCLUSION
Pneumomediastinum or pneumothorax is mainly caused by the intrapulmonary hyper-pressure and fracture of pulmonary bubbles. The prognosis of pneumomediastinum or pneumothorax is closely related to such factors as correct and punctual diagnosis and quick removal of the airway obstruction.
Bronchi
;
Bronchoscopy
;
adverse effects
;
Child, Preschool
;
Female
;
Foreign Bodies
;
surgery
;
Humans
;
Infant
;
Male
;
Mediastinal Emphysema
;
etiology
;
Pneumothorax
;
etiology
6.Tension Pneumothorax after Endoscopic Retrograde Pancreatocholangiogram.
Sang Yun SONG ; Kyo Seon LEE ; Kook Joo NA ; Byoung Hee AHN
Journal of Korean Medical Science 2009;24(1):173-175
We report a case of tension pneumothorax after an endoscopic sphincterotomy. A 78-yr-old woman presented with progressing dyspnea. She had undergone an endoscopic retrograde cholangiopancreatogram three days before due to acute cholecystitis. She underwent endoscopic sphincterotomy for stone extraction, but the procedure failed. On arrival to our hospital, she complained about severe dyspnea and she had subcutaneous emphysema. A computed tomogram scan revealed severe subcutaneous emphysema, right-side tension pneumothorax, and pneumoretroperitoneum. Contrast media injected through a transnasal biliary drainage catheter spilled from the second portion of the duodenum. A second abdominal computed tomogram showed multiple air densities in the retroperitoneum and peritoneal cavity, which were consistent with panperitonitis. We recommended an emergent laparotomic exploration, but the patient's guardians refused. She died eventually due to septic shock. Endoscopic retrograde cholangiopancreatogram is a popular procedure for biliary and pancreatic diseases, but it can cause severe complications such as intestinal perforation. Besides perforations, air can spread through the abdominal cavity, retroperitoneum, mediastinum, and the neck soft tissue, eventually causing pneumothorax. Early recognition and appropriate management is crucial to an optimal output of gastrointestinal perforation and pneumothorax.
Acute Disease
;
Aged
;
Cholangiopancreatography, Endoscopic Retrograde/*adverse effects
;
Cholecystitis/diagnosis
;
Female
;
Humans
;
Intestinal Perforation/etiology
;
Pneumothorax/*diagnosis/etiology
;
Retropneumoperitoneum/*diagnosis/etiology
;
Sphincterotomy, Endoscopic
;
Tomography, X-Ray Computed
7.Application of absorbable Neoveil patch in operation on refractory pneumothorax in silicosis patients.
Xiao-Ming LIN ; Chao-Xi LIN ; Chuang CHI
Chinese Journal of Industrial Hygiene and Occupational Diseases 2010;28(1):60-61
Absorbable Implants
;
Adult
;
Aged
;
Humans
;
Male
;
Middle Aged
;
Pneumothorax
;
etiology
;
surgery
;
Polyglycolic Acid
;
Silicosis
;
complications
;
surgery
;
Surgical Sponges
9.Clinical analysis and prevention of complications associated with ultrasound-guided percutaneous thick needle biopsy.
Ling BAI ; Tao YANG ; Ying TANG ; Jing-ning MAO ; Wei CHEN ; Yan ZHANG ; Yong WANG ; Wu-wei YANG
Journal of Southern Medical University 2009;29(5):1055-1059
OBJECTIVETo investigate the occurrence of complications in US-guided percutaneous biopsy using core (>19G) gauge cutting needle.
METHODSA retrospective analysis of 5366 US-guided thick needle biopsies was conducted to analyze the incidence of complications after biopsy at different positions.
RESULTSThe total incidence of complications was 1.08%, including most frequent hemorrhage, pneumothorax, hemotysis and infection.
CONCLUSIONUltrasound-guided automatic biopsy is easy to operate and safe, and strict execution of the procedures can lower the incidence of the complications.
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biopsy, Needle ; adverse effects ; methods ; Child ; Child, Preschool ; Female ; Hemorrhage ; etiology ; prevention & control ; Humans ; Male ; Middle Aged ; Pneumothorax ; etiology ; prevention & control ; Retrospective Studies ; Ultrasonography, Interventional ; Young Adult
10.Bilateral Spontaneous Pneumothorax During Cytotoxic Chemotherapy for Angiosarcoma of the Scalp: A Case Report.
Chang Hwa LEE ; Keon Uk PARK ; Deuk Young NAH ; Kyoung Sook WON
Journal of Korean Medical Science 2003;18(2):277-280
Spontaneous pneumothorax is a rare manifestation of metastatic lung cancers and described in advanced diseases or during cytotoxic chemotherapy which is manifested by sudden onset of dyspnea. The cause or mechanism of spontaneous pneumothorax has been unknown, as well as the association with site of metastases or type of cancers or side effect of chemotherapeutic drugs has been reported rarely. A 68-yr-old man underwent excision of angiosarcoma of the scalp. Chest radiography did not show any evidence of possible metastatic lung lesion at that time. Therefore, systemic doxorubicin and dacarbazine were given. After nineteen days of chemotherapy, he developed a bilateral spontaneous pneumothorax and palpable cervical lymph nodes. Both parietal and visceral pleura were intact and showed no evidence of metastatic and pathologic lesions on thoracoscopic evaluation. The patient managed with bilateral tube thoracostomy and both lungs were expanded. Lymph nodes became unpalpable during three cycles of the paclitaxel and doxorubicin, however, bilateral lung metastases were developed and progressed despite chemotherapy. The patient died due to respiratory failure after five months. This report underlines that spontaneous pneumothorax can occur as the first manifestation of metastatic angiosarcoma even if imaging studies do not show of a metastatic lesion.
Aged
;
Antigens, CD31/metabolism
;
Antineoplastic Combined Chemotherapy Protocols
;
Fatal Outcome
;
Hemangiosarcoma/complications*
;
Hemangiosarcoma/pathology
;
Human
;
Lung Neoplasms/complications*
;
Lung Neoplasms/secondary
;
Male
;
Pneumothorax/etiology*
;
Scalp/pathology*
;
Skin Neoplasms/complications*
;
Skin Neoplasms/pathology