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(Chest. 1960;38:512-515.)
© 1960 American College of Chest Physicians

Spontaneous Pneumothorax

W. J. VAIL C.D., R.C.A.M.C.1; A. E. ALWAY M.D.2; and N. J. ENGLAND M.D.2

1 The Chest Service, Department of Veterans Affairs, Westminster Hospital., Armed Forces Hospital, Rockliffe, Ontario.
2 The Chest Service, Department of Veterans Affairs, Westminster Hospital.

Thirty-nine consecutive cases of spontaneous pneumothorax treated with a conservative approach at Westminster DVA Hospital are analyzed.

1. No previous pulmonary history was given in 27 patients; the remainder gave a history in keeping with chronic bronchitis and/or emphysema.

2. Pain and/or dyspnea were initial symptoms in all.

3. Four were misdiagnosed on initial clinical examination prior to chest radiography.

4. Fifteen demonstrated an effusion on radiographic examination, three of which were obvious on clinical examination.

5. The average re-expansion time for 35 patients treated by needle aspiration and/or bed rest was 32 days.

6. The recurrence rate was 10.2 per cent.

7. No immediate or remote complication was encountered in this series.

8. We disagree with the early thoracotomy recommended by some authors.






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Copyright © 1960 by the American College of Chest Physicians.