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CLINICAL AND X-RAY CHARACTERISTICS OF PATIENTS WITH PNEUMOTHORAX AND SOME FACTORS AFFECTING THE RESULTS OF PNEUMOTHORAX TREATMENT AT THAI NGUYEN LUNG HOSPITAL
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Abstract
Objective: To delineate the clinical and paraclinical characteristics of patients presenting with spontaneous pneumothorax and to identify factors influencing treatment outcomes. Subjects: Spontaneous pneumothorax patients at Thai Nguyen Lung Hospital from 6/2022 - 6/2023. Methods: Cross-sectional description. Sample size: Convenient, total, 68 patients were obtained. Patients were categorized into two groups: those with primary spontaneous pneumothorax and those with secondary spontaneous pneumothorax. Treatment outcomes were classified as favorable or unfavorable. Data analysis utilized medical statistical techniques. Results and Discussion: The study population consisted predominantly of individuals aged 18-60 years (64.71%), male (80.88%), underweight (16.18%), overweight (11.76%), with a history of smoking (79.41%), and presenting with TKMP-TDMP (8.82%). Chest X-rays revealed pneumothorax localized to the left side (51.47%), right side (41.18%), bilateral (7.35%), with mild pneumothorax observed in 30.88% of cases and severe pneumothorax in 11.76%. TPNP pneumothorax accounted for 63.24% of cases. Treatment success rate was 98.53%, with 66.18% achieving good treatment outcomes and 3 out of 68 patients experiencing recurrence. Factors associated with an increased likelihood of poor treatment outcomes in patients with spontaneous pneumothorax included age over 60 (OR=5.444), severe pneumothorax (OR=7.588), and pneumothorax combined with TPTP (OR=6.563). Smoking and history of IUD-TDMP did not correlate with unfavorable treatment outcomes. Conclusion: TPNP pneumothorax predominantly affects male patients of working age with a smoking history. Age over 60, severe pneumothorax, delayed diagnosis, and TPTP pneumothorax are predictive factors associated with an increased probability of unfavorable treatment outcomes in patients with spontaneous pneumothorax.
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Keywords
Pneumothorax, Miniplethorax, Pleural effusion, Primary spontaneous, Secondary spontaneous
References
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