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자연기흉의 임상적 관찰

A Clinical Investigation of Spontaneous Pneumothorax

결핵및호흡기질환 1982년 29권 1호 p.22 ~ 29
신우종, 김지운, 장영복, 김귀완, 허기석, 윤석희, 김국융,
소속 상세정보
신우종 ( Shin Woo-Jong ) - 전주예수병원 내과
김지운 ( Kim Ji-Woon ) - 전주예수병원 내과
장영복 ( Jang Young-Bock ) - 전주예수병원 내과
김귀완 ( Kim Kwi-Wan ) - 전주예수병원 내과
허기석 ( Huh Kie-Suk ) - 전주예수병원 내과
윤석희 ( Yoon Suk-Hee ) - 전주예수병원 내과
김국융 ( Kim Kook-Yung ) - 전주예수병원 내과

Abstract


The authors reviewed 124 patients of spontaneous pneumothorax who were treated in Jeonju Presbyterian Medical Center from 1970 to 1981.
The following results were obtained:
1) Male was more frequently affected than female, and the ratio was 3.1:1.
2) The incidence was highest in the age group from 30 to 59 (64.5%).
3) The most common underlying cause was pulmonary tuberculosis (70.2%), the next was unknown etiology (13,7%), and the third was pneumonia (8.9%).
4) In tuberculous group, pneumothorax was more common in active tuberculosis (82.3%) than inactive or activity unknown cases, and more common in far advanced cases (79.3%) than minimal or moderately advanced cartes.
5) The success rate of the various methods of treatment was as follows: toed rest 45.1%, needle aspiration 50.0% and closed thoracotomy 84.8%. Mean duration for complete reexpansion of collapsed lung in above methods was 8.2 days, 7 days and 4.7 days respectively.

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