[Selection of therapeutic tactics for nonspecific spontaneous hemopneumothorax]

The results of treatment have been analyzed for 45 patients with nonspecific spontaneous hemopneumothorax. Therapeutic policy was decided upon individually basing on the patient's condition and clinical appearance of the disease. Urgent surgery was performed in 68.0% of patients for continuous intrapleural bleeding and tense pneumothorax. The rest cases underwent pleural puncture. Pleural drainage failed to eliminate spontaneous hemopneumothorax in all the patients. The causes of SHP were established mostly intraoperatively. In 81.8% of the cases it resulted from a rupture of a bullous lung. Long-term follow-up (1-18 years) of 28 patients treated surgically and conservatively recorded no recurrences.