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(Chest. 1949;15:612-623.)
© 1949 American College of Chest Physicians

Idiopathic Spontaneous Hemopneumothorax

An Evaluation of Its Treatment and Report of Three Cases

WALTER L. NALLS M.D., F.A.C.P., F.C.C.P.1 and JAMES H. MATTHEWS M.D.1

1 The Department of Medicine and Surgery, Veterans Administration, Oteen, North Carolina.

Idiopathic spontaneous hemopneumothorax is presented as a medical emergency with serious potentialities, which is somewhat more common than the infrequency of reported cases would seem to indicate. The principles of treatment have been presented, both during the early period when life is endangered from the combination of massive hemorrhage and tension pneumothorax, and during the late stage when reexpansion of the lung is the primary problem. The importance of active treatment with aspirations, transfusions, oxygen and sedation, with judicious use of thoracic surgery is stressed. Three cases illustrating important applications of these treatment principles are described in detail.






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Copyright © 1949 by the American College of Chest Physicians.