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Mohammed Areef
Specialist in pulmonology
B.G.H
Spontaneous pneumothorax
Primary
Secondary
Primary Spontaneous Pneumothorax
Occurs in people without any underlying lung
disease or any trauma
Predominantly disease of young adults
AGE: 20 30 yrs
CAUSES:
Apical blebs
Stature
Familial
Smoking
Thoracoscopic image of apical blebs in patient with
spontaneous pneumothorax
Secondary Spontaneous Pneumothorax
Disadvantages :
These substances produce PLEF & requires aspiration .
Cerebral embolism reported following talc use .
Longer stay in hospital than treated with ICD .
Referral to thoracic surgeons
In cases of persistent air leak or failure of the lung to re-
expand, the managing respiratory specialist should seek an
early (35 days) thoracic surgical opinion.
Thoracocentesis (22%) .
Pleural biopsy(8%) .