Nontraumatic hemothorax is rare. The most common cause of its occurrence is metastatic malignant lesion of the pleura . The second most frequent when rank ietravmaticheskogo hemothorax therapy is antikoa gulyantamiabout pulmonary embolism . Spontaneous hemothorax may result from bleeding pain GOVERNMENTAL hemophilia or thrombocytopenia [II] or complication appear spontaneous pneumothorax, rupture of the thoracic aorta, pancreatic pseudocysts , cleft arte ble duct , coarctation of the aorta , pulmonary arteriovenous shunt , aneurysm rupture of the splenic artery through the diaphragm , as well as thoracic endometriosis and bronchopulmonary sequestration . In some cases, despite the trial thoracotomy reason gemoto Rax remained undetected .
Hemothorax as a complication of anticoagulant therapy
By 1977 , there were registered 11 cases of hemothorax, just curled as a result of anticoagulation therapy . Plain but haemothorax formed through 4-7 days after the onset of such therapy, but in some cases it can occur even after a few months . Of these 11 patients 5 for only beam heparin, 4 – heparin and warfarin and 2 – only warfarin . Blood clotting data in these patients but consistent with acceptable therapeutic levels. Spontaneous hemothorax is usually formed on the same side as pulmonary embolism . Treatment of spontaneous re motoraksa associated with anticoagulant therapy is immediate discontinuation of the drug pre Paratov and the introduction of drainage to remove blood accumulating sheysya in the pleural cavity.
Spontaneous hemothorax
Gematokrnt pleural fluid in excess of 50% led officials peripheral blood hematocrit, mean that the pain Foot hemothorax. It will be appreciated that the hematocrit plevu tral liquid shall be defined independently of how looks bloody pleural fluid, as pleural fluid may be similar to the blood hematocrit pleural fluid less than 5%. Patients with spontaneous nym hemothorax to evacuate blood from the pleural cavity and ongoing assessment of bleeding rate must enter the pleural cavity drainage. With continued intensive bleeding (over 100 ml / h), thoracotomy is indicated.