Talc pleurodesis during videothoracoscopy for Pneumocystis carinii pneumonia-related pneumothorax. A new technique.
نویسندگان
چکیده
Pneumocystis carinii pneumonia in AIDS patients represents a growing problem for chest physicians. For thoracic surgeons, spontaneous pneumothorax and recurrent or persistent pneumothoraces can complicate this disease, requiring surgical intervention. Minimally invasive videothoracoscopy has now become a standard form of surgery for these patients, and we present a technique of talc insufflation that we believe is safe, simple, cost-effective, and reliable.
منابع مشابه
Spontaneous pneumothorax associated with Pneumocystis carinii pneumonia. Successful treatment with talc pleurodesis.
Spontaneous pneumothoraces occur in patients with acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia. However, treatment with tube insertion and tetracycline sclerosis often fails to prevent recurrence. We present a single case of such a patient successfully treated with talc sclerosis.
متن کاملThoracoscopic findings in spontaneous pneumothorax in AIDS.
Six patients with the acquired immunodeficiency syndrome (AIDS) who suffered eight spontaneous pneumothoraces between January 1990 and January 1993 underwent videothoracoscopy. The predominant macroscopic findings, found in four patients on five occasions, were white-yellow nodules dispersed throughout the lung surface. In addition, in one patient, these lesions were associated with multiple sm...
متن کاملTreatment of patients with spontaneous pneumothorax during videothoracoscopy.
Thoracoscopy for spontaneous pneumothorax has been performed over the years by many pulmonologists. The aim of the procedure was merely diagnostic: the detection of blebs and bullae. Therapeutic modalities were restricted to chemical pleurodesis. The development of videothoracoscopy has made more complex interventions, such as bullectomy possible. A protocol for videothoracoscopic treatment of ...
متن کاملTalc pleurodesis in pleuropulmonary diseases treatment.
AIM To determine the efficiency and safety of talc pleurodesis in treating the malignant pleural effusion and recurrent spontaneous pneumothorax. METHODS The study included 54 patients with malignant pleural effusion and recurrent spontaneous pneumothorax, who underwent talc pleurodesis using the "talc slurry" method of pleural talc obliteration. RESULTS Pleurodesis was successful in 52 (96...
متن کاملSpontaneous pneumothorax in children with AIDS.
The incidence of pneumothorax in HIV-infected children has not been reported. In adults with AIDS, pneumothorax has been described exclusively in association with Pneumocystis carinii pneumonia (PCP). We report the cases of three children with AIDS, one with lymphoid interstitial pneumonitis (LIP) without evidence of PCP and two with PCP, all of whom developed spontaneous pneumothorax (SP). On ...
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عنوان ژورنال:
- Chest
دوره 105 1 شماره
صفحات -
تاریخ انتشار 1994