[Spontaneous pneumothorax -an analysis of 1489 cases]
Vestnik Khirurgii Imeni I. I. Grekova
|March 20, 2014
Summary
Primary spontaneous pneumothorax is increasingly diagnosed in men in Saint-Petersburg. Secondary spontaneous pneumothorax is more common in women, with incidence not rising despite increased chronic obstructive lung disease.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Epidemiology
Background:
- Spontaneous pneumothorax (SP) is a significant thoracic condition.
- Primary SP (PSP) occurs without apparent lung disease, while secondary SP (SSP) is linked to underlying lung pathology.
- Understanding SP incidence trends is crucial for public health and resource allocation.
Purpose of the Study:
- To analyze the incidence trends of primary and secondary spontaneous pneumothorax.
- To identify demographic patterns in SP occurrence.
- To evaluate the relationship between chronic obstructive lung disease (COPD) and SSP incidence.
Main Methods:
- Retrospective analysis of medical records.
- Inclusion of 1489 patients hospitalized for spontaneous pneumothorax.
- Data collection from a municipal hospital in Saint-Petersburg.
Main Results:
- A notable increase in primary spontaneous pneumothorax (PSP) incidence among men over the past decade in Saint-Petersburg.
- Secondary spontaneous pneumothorax (SSP) incidence did not significantly increase, despite a rise in chronic obstructive lung disease (COPD) prevalence.
- SSP occurred approximately twice as frequently in the female population compared to males.
Conclusions:
- The incidence of PSP is rising in men in Saint-Petersburg.
- SSP incidence appears independent of COPD prevalence trends.
- Gender disparities exist in SSP occurrence, with females being more affected.
Related Concept Videos
Pneumothorax-I
2.2K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
2.2K
Pneumothorax-II
1.7K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.7K
Pneumothorax II: Pathophysiology
55
Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance...
55
Atelectasis II: Pathophysiology
40
Atelectasis develops when alveoli lose their air and collapse inward. Because lung tissue is naturally elastic, these air sacs shrink rather than remaining open. Collapsed alveoli are no longer ventilated, reducing their role in gas exchange. Blood flow may continue in these regions, creating a ventilation–perfusion mismatch. Clinical findings include decreased breath sounds, dullness to percussion, reduced chest expansion, and decreased tactile fremitus as sound transmission through...
40
Endoscopic Studies II: Thoracocentesis
2.5K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
2.5K
Flail Chest-I
1.2K
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
1.2K


