Pneumothorax beim Intensivpatienten: Die Wertigkeit von Tangentialaufnahmen
Hans Jantsch, Marianne Winkler, Werner J. Pichler, Walter Mauritz, Gedeon Lechner
Abstract
Hans Jantsch, Marianne Winkler, Werner J. Pichler, Walter Mauritz, Gedeon Lechner
Abstract
In 55 intensive-care patients an additional tangential view of the chest was taken to demonstrate or exclude a pneumothorax in patients with sudden deterioration of gas exchange and negative ap-chest x-ray, if there was a suspicion of pneumothorax or a confirmed small pneumothorax in the ap-view. In 14 of 42 cases (33.3%) with negative or suspected ap-chest x-ray the tangential view revealed a pneumothorax. 6 of these 14 pneumothoraces were under tension. In 7 out of 11 patients (63.6%) with small pneumothorax, the tangential view showed additionally a tension pneumothorax.
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In 55 intensive-care patients an additional tangential view of the chest was taken to demonstrate or exclude a pneumothorax in patients with sudden deterioration of gas exchange and negative ap-chest x-ray, if there was a suspicion of pneumothorax or a confirmed small pneumothorax in the ap-view. In 14 of 42 cases (33.3%) with negative or suspected ap-chest x-ray the tangential view revealed a pneumothorax. 6 of these 14 pneumothoraces were under tension. In 7 out of 11 patients (63.6%) with small pneumothorax, the tangential view showed additionally a tension pneumothorax.
Key concepts: Pneumothorax, Tension pneumothorax, Medicine, Cardiothoracic surgery, Intensive care, Surgery, Intensive care medicine