Title: Clinical Presentation & Management of hydro pneumothorax (Broncho Pleaural Fistula) (B.P.F.)

Author: Dr Anjali P. Ghare

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i10.99

Abstract

Introduction: Hydropneumothorax is an abnormal presence of air and fluid in pleural space.

Aim: To Study signs and symptoms, causes & treatment modalities for hydropneumothorax.

Materials & Method: Patients admitted from 2017 to 2018 studied with detailed history, lab investigation & treatment given recorded. Intercostal tube inserted & patients were followed for 3 months.

Result: 80 Patients were studied T.B. was cause in 75% patients then bacterial infection in 11.25% & COPD in 12.5 , malignancy in 1.25% patients. All patients required ICD tube insertion with approximately 15-20 days.

Conclusion: Most patients presented with signs of cardiorespiratory distress and pleural fluid analysis is most important in finding diagnosis. T.B. is most common cause & ICD with long duration with antimicrobial chemotherapy is the management.

Keywords: Tuberculosis, intercostals drainage, hydropneumothorax (B.P.F.)

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Corresponding Author

Dr Anjali P. Ghare

Associate Professor, M.D. Tuberculosis & Respiratory Diseases

Department of Respiratory Medicine Narayan Medical College Sasaram, Jamuhar. (India)