Efficacy of Pleurodesis with an Autologous Blood Patch for Secondary Spontaneous Pneumothorax in Elderly Patients

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  • 高齢者の続発性自然気胸に対する自己血注入による胸膜癒着療法の有用性
  • コウレイシャ ノ ゾクハツセイ シゼン キキョウ ニ タイスル ジコ ケツ チュウニュウ ニ ヨル キョウマク ユチャク リョウホウ ノ ユウヨウセイ

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Background : We herein report our findings of a study on the performance of pleurodesis by means of placing an autologous blood patch into the refractory pneumothorax. Methods : We retrospectively reviewed 9 cases who had an autologous blood patch injected into thoracic cavity. The injection rate was determined according to the level of the patient's overall status and anemia. Results : Autologous blood patches were thus injected 19 times in a total of 9 cases. The average age was 74.4±8.7years old, and all cases were males. Eight of the 9 patients reported a history of smoking. The response rate was 78%, and 2 cases did not show an improvement in pneumothorax and died. Conclusion : The performance of autologous blood patch pleurodesis is therefore considered to be a safe and effective treatment method. This method should therefore be used as a first line treatment for secondary spontaneous pneumothorax in elderly patients.

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