Abstract:

Purpose: Pnömotoraks is the presence of air in the pleural space. More than half of the pneumotorax diagnoses occur without any trauma. This condition is called spontaneous pnömotoraks (SP). It is also often encountered in the emergency service with pnömotoraks cases. The diagnosis and treatment must be done quickly and significantly as a pleura disease. This study aims to reveal the demographic characteristics, risk factors, clinical characteristics, diagnosis and treatment approaches of SP patients applying for emergency service. Tools and Methods: From January 2018 to June 2020, patients with SP diagnosis who apply to the Emergency Service of the University of Çanakkale Eighteen March Medical School have been examined retrospectively in a single-centric study. In patients, age, gender, forms of emergency service, complaints, underlying diseases, smoking history, presence of previous pnömotoraks complaints, nick and number, physical examination findings, accompanying cases, presence of pressure pnömotoraks, tube toracostomy treatment and treatment results have been determined. Results: 53 patients who were diagnosed with SP were included in the study. 92.5% of patients are male. 92.5% (n=49) of the tube toracostomy process was applied. 84.9% of these patients (n=45) were transferred to the breast surgery service, 11.3% (n=6) to intensive care and 2% (n=3.8) to the outer center. According to the results of the treatment, 88.7 percent (n=47) of spontaneous pneumotorax patients were removed by healing. The result: Spontaneous pneumotorax is a clinical condition that can pose a vital danger when not interfered in time.

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