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- M Baba, H Yokoi, A Yamashita, S Sugimoto, O Izumiyama, and T Hasegawa.
- Department of Cardiovascular Surgery, Hakodate Municipal Hospital, Japan.
- Kyobu Geka. 1998 Oct 1; 51 (11): 970-3.
AbstractA 21-year-old man; complaining of left chest pain and dyspnea, was admitted to our hospital with a diagnosis of spontaneous pneumothorax. Though chest X-ray on admission did not show hemothorax, chest drainage revealed intrapleural bleeding. As chest X-ray on the following day showed evident fluid level, emergency operation was carried out with a diagnosis of spontaneous hemopneumothorax. Bleeding point was a ruptured vessel between parietal pleura and bulla in apex of lung. The bulla was resected following hemostasis. After improvement of complicating postoperative re-expansive pulmonary edema, the patient was discharged on the 18th postoperative day. On treatment of spontaneous hemopneumothorax, existence of such a case as ours should be taken into account.
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