Journal article

SPONTANEOUS PNEUMOTHORAX IN PEDIATRIC-PATIENTS

AM DAVIS, DF WENSLEY, PD PHELAN

RESPIRATORY MEDICINE | W B SAUNDERS CO LTD | Published : 1993

Abstract

To obtain information to guide the management of children and early adolescents with apparent spontaneous pneumothorax the medical records of all patients over the age of 5 years presenting with this condition over a 25-yr period were reviewed. Twelve patients had a pneumothorax not associated with an acute episode of asthma. Six of these underwent thoracotomy at first presentation. Of the six who were initially treated conservatively five had a recurrence on the ipsilateral side. Seven patients developed a pneumothorax during an acute episode of asthma and none had a recurrence. Early intervention by either thoracotomy or some form of closed pleurodesis should be considered in paediatric pa..

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