SPONTAN HEMOPNÖMOTORAKS: HAYATI TEHDİT EDEN NADİR BİR KLİNİK ANTİTE

Spontan hemopnömotoraks, travma veya başka bir neden olmaksızın plevral kavitede hava ve kanın eşzamanlı birikmesi ile karakterize nadir görülen bir hastalıktır. Spontan pnömotorakslı olguların % 0.5- 12’sinde spontan hemopnömotoraks gözlenebilir. Tanı travma öyküsü olmaksızın ani başlayan göğüs ağrısı ve dispnesi olan hastaya çekilen posteroanterior akciğer grafisinde pnömotoraks hattı ve hava sıvı seviyesi görülmesi ile konur. Kanama çoğunlukla parietal ve visseral plevra arasındaki yapışıklığın yırtılması sonucu ya da vasküler büllerin rüptürü sonucu oluşmaktadır. Erken tanı ve uygun cerrahi yaklaşım ile ölümcül komplikasyonların önüne geçilebilir. Bu sunumda spontan hemopnömotorakslı iki olgunun sunumu amaçlanmıştır

Anahtar Kelimeler:

Spontan Hemopnömotoraks, Tüp Torakostomi, Torakotomi

SPONTANEOUS HAEMOPNEUMOTHORAX: A RARE CLINICAL ENTITY WITH LIFE THREATENING

Spontaneous haemopneumothorax is a rare clinical condition with a simultaneous accumulation of air and blood in the pleural cavity with no trauma or other causes. It is occurred in 0.5%-12% of spontaneous pneumothorax. Diagnosis is performed by chest x-ray. Spontaneous haemopneumothorax caused by pleural adhesion between the parietal and visceral pleura or rupture of the vascularized bullae. Early diagnosis and appropriate surgical treatment can prevent fatal complications. In this report we aimed to present two cases of spontaneous haemopneumothorax.

Keywords:

Spontaneous Haemopneumothorax, Tube Thoracostomy, Thoracotomy,

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