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Journals / İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2020 / Cilt: 24 - Sayı: 1

ANALYSIS OF PATIENTS WITH PRIMARY AND SECONDARY SPONTANEOUS PNEUMOTHORAX

PRİMER VE SEKONDER SPONTAN PNÖMOTORAKSLI HASTALARIN ANALİZİ

Onur AKÇAY
Önder KAVURMACI
Pages
55–59
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

It should be kept in mind that patients with primary spontaneous pneumothorax commonly present with chest pain and patients with secondary spontaneous pneumothorax with dyspnea.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: In our study, patients who presented with spontaneous pneumothorax were evaluated as primary and secondary spontaneous pneumothorax.
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Key Findings & Data:Material and Method: Patients that were treated by the same two surgeons between July 2016 and December 2018 in İzmir Çiğli Region Training Hospital and Izmir Bozyaka Training and Research Hospital Thoracic Surgery Clinics were included in the study.
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Conclusion & Impact:It should be kept in mind that patients with primary spontaneous pneumothorax commonly present with chest pain and patients with secondary spontaneous pneumothorax with dyspnea.
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: In our study, patients who presented with spontaneous pneumothorax were evaluated as primary and secondary spontaneous pneumothorax. In this study, it is aimed to reveal the differences between the clinical features and treatment options of these patients. Material and Method: Patients that were treated by the same two surgeons between July 2016 and December 2018 in İzmir Çiğli Region Training Hospital and Izmir Bozyaka Training and Research Hospital Thoracic Surgery Clinics were included in the study. The data of the patients were evaluated retrospectively. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi (Medical Journal of İzmir Hospital) 24 (1): 55-59, 2020 56 İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi (Medical Journal of İzmir Hospital) Results: Of the patients, 59 (92.19%) were male and five (7.81%) were female. The mean age was 35.69+16.9 years. Forty-five (70.31%) patients were had primary spontaneous pneumothorax and 19 (26.69%) had secondary spontaneous pneumothorax. The mean age was 26,87+8,1 in patients with primary spontaneous pneumothorax and 56,58+13,86 in patients with secondary spontaneous pneumothorax (p = 0,014). Patients with primary spontaneous pneumothorax mostly complained of chest pain, whereas secondary spontaneous pneumothorax patients generally presented with dyspnea (p <0.001). Smoking was significantly higher in the secondary spontaneous pneumothorax group (p = 0.005). Conclusion: Primary spontaneous pneumothorax is mostly seen in young males and secondary spontaneous pneumothorax in advanced age. Male gender and smoking are risk factors in both diseases, but smoking is more associated with secondary spontaneous pneumothorax. It should be kept in mind that patients with primary spontaneous pneumothorax commonly present with chest pain and patients with secondary spontaneous pneumothorax with dyspnea.

Özet

Giriş: Çalışmamızda spontan pnömotoraks ile başvuran hastalar, primer ve sekonder spontan pnömotoraks başlıkları altında incelendi. Hastaların klinik özellikleri ve tedavi seçenekleri arasındaki farklar ortaya konmaya çalışıldı. Gereç ve Yöntem: Çalışmaya Temmuz 2016 – Aralık 2018 tarihleri arasında İzmir Çiğli Bölge Eğitim Hastanesi ve İzmir Bozyaka Eğitim ve Araştırma Hastanesi Göğüs Cerrahisi Klinikleri’nde, spontan pnömotoraks nedeni ile, her iki hastanede aynı iki cerrah tarafından takip edilen hastalar dahil edildi. Hastaların verileri retrospektrif olarak değerlendirildi. Bulgular: Çalışmaya dahil edilen hastaların 59’u (%92,19) erkek, beşi (%7,81) kadın olup ortalama yaş 35,69+16,9 idi. Kırk beş (%70,31) hasta primer spontan pnömotoraks, 19 (%26,69) hasta ise sekonder spontan pnömotoraks nedeni ile takip edildi. Primer spontan pnömotorakslı hastaların yaş ortalaması 26,87+8,1 iken sekonder spontan pnömotorakslı hastaların 56,58+13,86 idi (p=0,014). Primer spontan pnömotorakslı hastalar daha çok göğüs ağrısı şikayeti ile başvururken, sekonder spontan pnömotorasklı hastaların ise nefes darlığı şikayeti ile başvurduğu görüldü (p<0,001). Sigara kullanımı sekonder spontan pnömotoraks grubunda anlamlı bir şekilde yüksek idi (p=0,005). Sonuç: Primer spontan pnömotoraks daha çok genç erkeklerde görülürken sekonder spontan pnömotoraks ileri yaşta görülmektedir. Her iki hastalık içinde erkek cinsiyet ve sigara kullanımı birer risk faktörüdür ancak sekonder spontan pnömotoraks ile sigara kullanımı daha kolay ilişkilendirilmektedir. Primer spontan pnömotorakslı hastaların göğüs ağrısı ile, sekonder spontan pnömotorakslı hastaların ise nefes darlığı ile başvurduğu akılda tutulmalıdır.

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Cite This Article

AKÇAY, O., KAVURMACI, Ö. (2020). ANALYSIS OF PATIENTS WITH PRIMARY AND SECONDARY SPONTANEOUS PNEUMOTHORAX. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 24 - Sayı: 1, 55–59. https://ajindex.com/articles/168209

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