![]() ![]() #Gotoh sp vs psp psp#One patient had 60 mm emphysema (stage IV classification of PSP by Vanderschueren). ![]() In most cases, they did not exceed 20 mm (stage III classification of PSP by Vanderschueren). Nearly half of the patients (n=33, 45.21%) had emphysema-like changes found intraoperatively. Surgical procedures were performed using videothoracoscopy method in accordance with current applicable standards. The following parameters were determined: ![]() Pneumothorax on the right side in 45 (61.64%) patients, all patients had pneumothorax >2 cm, 10.95% of patients had total lung collapse. The remaining 20 (27.40%) patients had ELC. No changes in the lung parenchyma were shown in CT of the chest in majority of the patients (n=53, 72.60%). The average time elapsed from the onset of symptoms of pneumothorax to surgery was 3.4 days. Thirty-three (45.21%) of the patients from the study group did not seek medical assistance immediately after the onset of symptoms. The treatment turned out to be ineffective in both cases. The second-a significantly smaller group of 18 (24.66%)-were the patients in which lung expansion by pleural drainage or repeated puncture of the chest was attempted during the first 48 hours from the onset of emphysema. The main 55-person (71.4%) group of patients referred to the Clinic were those in whom no lung expansion was attempted before the admission to the clinic, some were treated at other centers using conservative methods (observation of pneumothorax, oxygen therapy, physiotherapy). Sudden chest pain was reported by 66 (85%) patients. In 42 (57.53%) patients the symptoms appeared while watching TV, reading and sleeping, in 26 (35.62%) during a walk, and in 5 (6.85%) while performing household activities not associated with intense physical activity. In all patients, the onset of symptoms of pneumothorax was not associated with increased physical activity. ![]()
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