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(Chest. 1946;12:394-401.)
© 1946 American College of Chest Physicians

Spontaneous Hemothorax

A Discussion of the Problem Based on Three Cases

ARTHUR BERNSTEIN M.D.1; EMANUEL KLOSK M.D., F.C.C.P.1; and AARON E. PARSONNET M.D.1

1 The Medical Service of Dr. Aaron E. Parsonnet, Newark Beth Israel Hospital, Newark, New Jersey.

1. One case of spontaneous hemopneumothorax, one of hemothorax due to a neoplasm found only microscopically, and one of hemothorax due to tuberculosis of the pleura are reported.

2. The clinical syndrome and physiologic factors involved in spontaneous hemopneumothorax are presented.

3. The factors which may produce a spontaneous hemothorax without pneumothorax are discussed to show that spontaneous hemothorax and spontaneous hemopneumothorax are not necessarily stages in the same condition.

4. The danger of making a diagnosis of spontaneous hemothorax without careful investigation is reiterated on the basis of the presented cases.

5. The importance of making a diagnosis of hemothorax and the need for aspiration are emphasized.






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Copyright © 1946 by the American College of Chest Physicians.