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dc.contributor.authorRussell, John Taylor Randolphen
dc.date.accessioned2018-01-31T11:36:36Z
dc.date.available2018-01-31T11:36:36Z
dc.date.issued1950
dc.identifier.urihttp://hdl.handle.net/1842/27320
dc.description.abstracten
dc.description.abstractHistorical reference to pneumothorax is nota common in the literature. It was probably used as a method of execution by the Greeks in early times, and L aennec's description of the condition is quoted. The earliest use of the name "pneumothorax" to describe the condition is that of Itard (1803). Different types of pneumothorax due to disease or trauma are described, and Benign Spontaneous Pneumothorax is defined as a clinical entity, according to the criteria of Kjaergaard (1932).en
dc.description.abstractThe method of collecting the case records of the patients in this series is described. One hundred cases have been collected who have been admitted to the Royal Infirmary as In- patients in the years 1932 to 1950. Seventeen of these were personally observed.en
dc.description.abstractThe incidence of Benign Spontaneous Pneumothorax in relation to the total number of patients admitted to the Royal Infirmary is found to be 0.035, and comparison is made with figures for other published series.en
dc.description.abstractThe ratio of benign to pathological types is discussed, and the immediate mortality of the present series is shown to be 75, mostly in the older age groups.en
dc.description.abstractBenign Spontaneous Pneumothorax is shown to be much more common in males than in females. In the present series, it is twenty to one, though the figure commonly recorded is something over six to one. Experimental evidence is produced which shows that men are capable of creating a greater intrapulmonary pressure than women, and it is suggested that this is concerned in the genesis of this type of pneumothorax.en
dc.description.abstractThe condition is shown to occur most commonly in the age group around thirty years. The average age of the Patients in this series is 32.9 years, and is similar to that recorded in other comparable series. The side affected is most commonly the left in this series, though in a general survey of recorded cases in the literature either side is probably equally liable to be affected, with a sli '-it tendency for the right to be the more co.:lion.en
dc.description.abstractThe method of Polloa -up of the patients is I described, and the mortality, subsequent development of tuberculosis and recurrences noted. Deducting those patients who had had their pneumothorax less than six months before the Follow-up was carried out, and those who died after admission to the Infirmary, seventy-eight patients have been successfully followed -up out of a possible eighty- seven, for from six months to almost eighteen years. None has developed tuberculosis in that time, and twenty -seven patients have had more than one attack.en
dc.description.abstractA familial incidence is noted in two cases and a possible third.en
dc.description.abstractThree patients in this series had simultaneous bilateral pneumothoraces. One died as a result of this but the other two survived.en
dc.description.abstractThe incidence of Benign Spontaneous Pneumothorax is shown to be no more common in those engaged in occu)ations which demand heavy physical exertion, and no direct relationship of the onset to exertion has been found in most of the cases. Some patients have been wakened from sleep by the onset of the spontaneous pneumothorax, which commonly occurs in the morning.en
dc.description.abstractAll except five of the subjects in this series are underweight for their height and age. This is an observation which has not previously been noted in any similar series.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2017 Block 16en
dc.relation.isreferencedbyAlready catalogueden
dc.titleSpontaneous pneumothorax: a study of 100 cases of the benign or idiopathic type, with a review of the literatureen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelen
dc.type.qualificationnamePhD Doctor of Philosophyen


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