A CASE OF SPONTANEOUS HEMOPNEUMOTHORAX COMPLICATED WITH INTRAPLEURAL MASSIVE BLEEDING

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  • 胸腔内大量出血を来した特発性血気胸の1例

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Spontaneous hemopneumothorax complicated with massive bleeding is rare. A 26-year-old man was admitted to the hospital because of severe right chest pain. Chest X-ray film revealed complete collapse of the right lung with a little pleural effusion. This lung collapse dissapeared by the chest-tube drainage. Only small amount of blood drained through the chest tube. However, six hours later after the drainage, he suddenly fell into a shock status with massive bleeding through the chest tube. An emegency thoracotomy was carried out. We recognized arterial bleeding from the stump of the aberrant vessel at the apex of the pleural cavity. We performed the ligation of this aberrant vessel. Early thoracotomy should be indicated for treatment of spontaneous hemopneumothorax complicated with massive bleeding as in this case.

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