Keywords
Lung bulla; Smoke; Respiratory distress; Bullectomy; Bleb
Abstract
Introduction: Bullous lung disease is characterized by the development of bulla within the lung parenchyma. Smoking is considered as a main risk factor of bulla formation. The clinical manifestation varies from asymptomatic bulla to severe respiratory distress. The exact medical approach is still controversial. Here in we aimed to evaluate the patients’ characteristic and the indication of surgery in the patients
Methods: This study was an analytic cross-sectional study in Razi, Rasht in 2012- 2017. The 110 patients with newly diagnosed lung bulla underwent evaluation based on a check list which assessed the variables as clinical characteristics, bulla features, the medical treatment and its complication. Eventually, the statistical analysis was performed by using SPSS v21.0.
Results: 110 patients were enrolled. All the patients were smoker. In 72.9% the primary presentation was respiratory distress which needed surgical resection with no recurrence over 8 month. The clinical manifestation varies from asymptomatic bulla in 4.3%, pneumonia in 34.3% to respiratory distress in 61.4%. There was not a statistical correlation between clinical manifestation and all the studied variables excluding respiratory distress (p value: 0.659). The seventy patients underwent surgical treatment in which twenty cases were complicated by air leak that was managed by chest tube in 16 patients and Heimlich valve in 4 patients. No evidence of recurrence was detected.
Conclusion: The main risk factor of bullous formation is smoking. Due to various clinical presentations, the appropriate medical approach is in paramount of importance
Citation
Aghajanzadeh M, Pourmehr L, Asgary MR, Fomani AA, Jafarne gad A, et al. (2019) An Investigation into Symptoms, Diagnosis, Manage ment, and Complications of Treatment in Patients with Pulmonary Bullae. JSM Clin Cytol Pathol 4: 5.