Özet:

Objective: Spontaneous hemopneumothorax (SHP) may threaten life unless timely diagnosed and appropriately treated. The aim of this study was to review our institutional experience in the management of patients with SHP. Patients and Methods: We retrospectively analyzed age, gender, the affected side, the amount of drainage, clinical findings, and treatment outcomes of 610 patients with diagnosis of spontaneous pneumothorax at emergency department. Later, they were admitted to the Department of Thoracic Surgery, Dicle University Hospital. Results: Posteroanterior chest radiographs, thoracic computed tomography (CT) scans, biochemistry and coagulation test results of all patients were evaluated. All patients underwent closed chest drainage. Seven (1.14%) of 610 patients were diagnosed with SHP. These patients underwent operation after thoracic drainage. Three of them were operated by video-assisted thoracoscopic surgery (VATS) and the others by thoracotomy. No postoperative complication was observed. Conclusion: SHP should be considered in patients presenting with sudden chest pain and dyspnea when there is air-fluid level in addition to pneumothorax on radiography. The first treatment approach should be the application of tube thoracostomy. Next step should include close clinical and hemodynamic control and be followed primarily by VATS or urgent thoracotomy in case of continued bleeding. An early diagnosis and appropriate surgical approach can prevent fatal complications.

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