Le Mali medical · 2023
[Epidemiolological, Clinical, Etiological, Therapeutic And Evolutive Aspects Of Spontaneous Pneumothoraxes In The Internal Medicine Department Of The University Hospital Center Of Abéche (CHU-A) In Chad].
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NGakoutou R, Ahmet A, Vadandi V, Nemian M, Dieudonne D, Mbainadji L, Toralta J, Allawaye L, Ali Bolti Mahamat, Mad-Toingue Joseph
Аннотация
INTRODUCTION: Pneumothorax are frequent reasons for hospitalization in African pneumological settings. The objective of this work was to describe the epidemiological-clinical, etiological, therapeutic and evolutionary aspects of pneumothorax at the Center Hospitalier Universitaire d'Abéché (CHU-A) in Chad.
MATERIALS AND METHODS: This was a prospective and descriptive study conducted in the internal medicine department, from January 1, 2020 to December 31, 2021 concerning cases of pneumothorax.
RESULTS: A total of 40 cases of pneumothorax were collected, representing a hospital frequency of 2.38%. The most affected age group was that of 26-45 years (40%) with a male predominance (M/F ratio=2.33). The main contributing factors were smoking (32.5%) and being underweight (55.5%). Acute bacterial pneumonia (57.5%) and tuberculosis (27.5%) were the main etiologies of secondary pneumothorax. Pleural drainage (62.5%), combined with non-specific antibiotic therapy (57.5%) or antituberculous treatment (27.5%) were the main means of management. The evolution was favorable at 90%. We had recorded a hospital mortality of 7.5%.
CONCLUSION: Pneumothorax remains frequent in our hospital settings. The dominant etiologies were acute bacterial pneumonia and tuberculosis. The evolution is sometimes interspersed with complications such as residual pneumothorax or pachypleuritis.
MATERIALS AND METHODS: This was a prospective and descriptive study conducted in the internal medicine department, from January 1, 2020 to December 31, 2021 concerning cases of pneumothorax.
RESULTS: A total of 40 cases of pneumothorax were collected, representing a hospital frequency of 2.38%. The most affected age group was that of 26-45 years (40%) with a male predominance (M/F ratio=2.33). The main contributing factors were smoking (32.5%) and being underweight (55.5%). Acute bacterial pneumonia (57.5%) and tuberculosis (27.5%) were the main etiologies of secondary pneumothorax. Pleural drainage (62.5%), combined with non-specific antibiotic therapy (57.5%) or antituberculous treatment (27.5%) were the main means of management. The evolution was favorable at 90%. We had recorded a hospital mortality of 7.5%.
CONCLUSION: Pneumothorax remains frequent in our hospital settings. The dominant etiologies were acute bacterial pneumonia and tuberculosis. The evolution is sometimes interspersed with complications such as residual pneumothorax or pachypleuritis.