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Báo cáo y học: " Spontaneous tension haemopneumothorax"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Spontaneous tension haemopneumothorax | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Spontaneous tension haemopneumothorax Benjamin Oliver Patterson Sarah Itam and Fey Probst Address Department of Emergency Medicine Charing Cross Hospital Fulham Palace Road W6 8RF London Email Benjamin Oliver Patterson - bop@doctors.net.uk Sarah Itam - sarah.itam@imperial.ac.uk Fey Probst - fey.probst@imperial.nhs.uk Corresponding author Published 31 October 2008 Received 27 October 2008 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2008 16 12 doi 10.1186 1757-7241-16-12 Accepted 31 October 2008 This article is available from http www.sjtrem.com content 16 1 12 2008 Patterson et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We present a patient with sudden onset progressive shortness of breath and no history of trauma who rapidly became haemodynamically compromised with a pneumothorax and pleural effusion seen on chest radiograph. He was treated for spontaneous tension pneumothorax but this was soon revealed to be a tension haemopneumothorax. He underwent urgent thoracotomy after persistent bleeding to explore an apical vascular abnormality seen on CT scanning. To our knowledge this is the first such case reported. Aetiology and current approach to spontaneous haemothorax are discussed briefly. Introduction Spontaneous haemopneumothorax SHP occurs in 112 cases of spontaneous pneumothorax and is characterised by spontaneous pneumothorax with over 400 mls of blood in the pleural cavity 1 . This can go unnoticed or can cause life threatening hypovolaemia. Case report Whilst pivoting in his chair at work a 35 year old man suddenly developed chest pain and difficulty in breathing associated with a .