Indicators of haemothorax in patients with spontaneous pneumothorax

C. C. Hsu, Y. L. Wu, H. J. Lin, M. P. Lin, How-Ran Guo

Research output: Contribution to journalArticle

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Abstract

Objectives: To identify indicators and possible risk factors of haemothorax in patients with spontaneous pneumothorax. Methods: All patients presenting to the emergency department of Chi-Mei Foundation Medical Center, Tainan, Taiwan with primary spontaneous pneumothorax between 1 January 1997 and 31 December 2002 were screened for inclusion in the present study. Of the 211 patients who qualified, eight had spontaneous haemopneumothorax (SHP) (3.79%). The clinical data and demographic characteristics of these patients were similar to those of patients with spontaneous pneumothorax without haemothorax (SP). Results: All eight SHP patients were thin and young men (mean age 24 years and mean weight 56.1 kg). Seven were smokers. The patients with SHP were taller that the patients with SP (177.4 cm v 170.3 cm, respectively; p<0.01), and tended to have a lower body mass index (BMI) (17.9 kg/m2 19.6 kg/m2, respectively; p = 0.06) and higher heart rate (101.0 v 88.0 beats/min, respectively; p = 0.09). Clinically, patients with SHP were more likely to have dyspnoea compared with SP patients (62.5% v 26.6%, respectively; p = 0.04) and lower levels of haemoglobin (12.8 v 14.7 g/dl, respectively; p = 0.01) and haematocrit (38.1% v 44.1%, respectively; p<0.01). Chest x rays revealed pleural effusion in all patients with SHP but in none with SP. Conclusions: Patients with SHP are taller, with lower levels of haemoglobin and haematocrit, and are more likely to have dyspnoea than patients without haemothorax. The chest x ray finding of pneumothorax with an ipsilateral air-fluid level is a strong indicator of SHP.

Original languageEnglish
Pages (from-to)415-417
Number of pages3
JournalEmergency Medicine Journal
Volume22
Issue number6
DOIs
Publication statusPublished - 2005 Jun 1

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Hemothorax
Pneumothorax
Hemopneumothorax
Hematocrit
Dyspnea
Hemoglobins
Thorax
X-Rays
Pleural Effusion
Taiwan
Hospital Emergency Service

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Hsu, C. C. ; Wu, Y. L. ; Lin, H. J. ; Lin, M. P. ; Guo, How-Ran. / Indicators of haemothorax in patients with spontaneous pneumothorax. In: Emergency Medicine Journal. 2005 ; Vol. 22, No. 6. pp. 415-417.
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abstract = "Objectives: To identify indicators and possible risk factors of haemothorax in patients with spontaneous pneumothorax. Methods: All patients presenting to the emergency department of Chi-Mei Foundation Medical Center, Tainan, Taiwan with primary spontaneous pneumothorax between 1 January 1997 and 31 December 2002 were screened for inclusion in the present study. Of the 211 patients who qualified, eight had spontaneous haemopneumothorax (SHP) (3.79{\%}). The clinical data and demographic characteristics of these patients were similar to those of patients with spontaneous pneumothorax without haemothorax (SP). Results: All eight SHP patients were thin and young men (mean age 24 years and mean weight 56.1 kg). Seven were smokers. The patients with SHP were taller that the patients with SP (177.4 cm v 170.3 cm, respectively; p<0.01), and tended to have a lower body mass index (BMI) (17.9 kg/m2 19.6 kg/m2, respectively; p = 0.06) and higher heart rate (101.0 v 88.0 beats/min, respectively; p = 0.09). Clinically, patients with SHP were more likely to have dyspnoea compared with SP patients (62.5{\%} v 26.6{\%}, respectively; p = 0.04) and lower levels of haemoglobin (12.8 v 14.7 g/dl, respectively; p = 0.01) and haematocrit (38.1{\%} v 44.1{\%}, respectively; p<0.01). Chest x rays revealed pleural effusion in all patients with SHP but in none with SP. Conclusions: Patients with SHP are taller, with lower levels of haemoglobin and haematocrit, and are more likely to have dyspnoea than patients without haemothorax. The chest x ray finding of pneumothorax with an ipsilateral air-fluid level is a strong indicator of SHP.",
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Indicators of haemothorax in patients with spontaneous pneumothorax. / Hsu, C. C.; Wu, Y. L.; Lin, H. J.; Lin, M. P.; Guo, How-Ran.

In: Emergency Medicine Journal, Vol. 22, No. 6, 01.06.2005, p. 415-417.

Research output: Contribution to journalArticle

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AU - Wu, Y. L.

AU - Lin, H. J.

AU - Lin, M. P.

AU - Guo, How-Ran

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N2 - Objectives: To identify indicators and possible risk factors of haemothorax in patients with spontaneous pneumothorax. Methods: All patients presenting to the emergency department of Chi-Mei Foundation Medical Center, Tainan, Taiwan with primary spontaneous pneumothorax between 1 January 1997 and 31 December 2002 were screened for inclusion in the present study. Of the 211 patients who qualified, eight had spontaneous haemopneumothorax (SHP) (3.79%). The clinical data and demographic characteristics of these patients were similar to those of patients with spontaneous pneumothorax without haemothorax (SP). Results: All eight SHP patients were thin and young men (mean age 24 years and mean weight 56.1 kg). Seven were smokers. The patients with SHP were taller that the patients with SP (177.4 cm v 170.3 cm, respectively; p<0.01), and tended to have a lower body mass index (BMI) (17.9 kg/m2 19.6 kg/m2, respectively; p = 0.06) and higher heart rate (101.0 v 88.0 beats/min, respectively; p = 0.09). Clinically, patients with SHP were more likely to have dyspnoea compared with SP patients (62.5% v 26.6%, respectively; p = 0.04) and lower levels of haemoglobin (12.8 v 14.7 g/dl, respectively; p = 0.01) and haematocrit (38.1% v 44.1%, respectively; p<0.01). Chest x rays revealed pleural effusion in all patients with SHP but in none with SP. Conclusions: Patients with SHP are taller, with lower levels of haemoglobin and haematocrit, and are more likely to have dyspnoea than patients without haemothorax. The chest x ray finding of pneumothorax with an ipsilateral air-fluid level is a strong indicator of SHP.

AB - Objectives: To identify indicators and possible risk factors of haemothorax in patients with spontaneous pneumothorax. Methods: All patients presenting to the emergency department of Chi-Mei Foundation Medical Center, Tainan, Taiwan with primary spontaneous pneumothorax between 1 January 1997 and 31 December 2002 were screened for inclusion in the present study. Of the 211 patients who qualified, eight had spontaneous haemopneumothorax (SHP) (3.79%). The clinical data and demographic characteristics of these patients were similar to those of patients with spontaneous pneumothorax without haemothorax (SP). Results: All eight SHP patients were thin and young men (mean age 24 years and mean weight 56.1 kg). Seven were smokers. The patients with SHP were taller that the patients with SP (177.4 cm v 170.3 cm, respectively; p<0.01), and tended to have a lower body mass index (BMI) (17.9 kg/m2 19.6 kg/m2, respectively; p = 0.06) and higher heart rate (101.0 v 88.0 beats/min, respectively; p = 0.09). Clinically, patients with SHP were more likely to have dyspnoea compared with SP patients (62.5% v 26.6%, respectively; p = 0.04) and lower levels of haemoglobin (12.8 v 14.7 g/dl, respectively; p = 0.01) and haematocrit (38.1% v 44.1%, respectively; p<0.01). Chest x rays revealed pleural effusion in all patients with SHP but in none with SP. Conclusions: Patients with SHP are taller, with lower levels of haemoglobin and haematocrit, and are more likely to have dyspnoea than patients without haemothorax. The chest x ray finding of pneumothorax with an ipsilateral air-fluid level is a strong indicator of SHP.

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