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(Chest. 1964;46:571-577.)
© 1964 American College of Chest Physicians

Spontaneous Pneumothorax in Pulmonary Emphysema

Louis R. Cabiran M.D., F.C.C.P.1 and Morton M. Ziskind M.D., F.C.C.P.2

1 Associate Clinical Professor of Medicine, Tulane University School of Medicine
2 Associate Professor of Medicine, Tulane University School of Medicine

1. Pneumothorax in association with pulmonary emphysema is a serious complication, causing marked disability and requiring prompt and diligent therapy.

2. The patients are usually in the older age group and frequently have other diseases of the lungs or heart.

3. The clinical classification of emphysema may be used as a guide for surgical intervention. The best results from surgical treatment were in the groups of patients who had bullous emphysema without diffuse emphysematous involvement.

4. The type of therapy providing the most rapid re-expansion of the lung is the most desirable and in our cases has been intrathoracic intubation with continuous suction.

5. Surgical procedures must be employed in cases of recurrent pneumothorax and bullous emphysema, and partial parietal pleurectomy deserves more widespread application.






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Copyright © 1964 by the American College of Chest Physicians.