The present paper deals with the relationships between the opaque lung subsequent to artificial pneumothorax and the pleural effusion and the re-expansion after abudonment of the pneumothorax.
201 cases to which pneumothorax were conducted for 3 months or more were presented for our study. 125 cases showed opacification and 76 did not. The incidence of pleural effusion was 70%. There were pleural effusion in 86% of the 125 cases of opaque lung and in 46% of the remaining 76 cases. There were no significant differences in the development of pleural effusion between opacity of upper lobe or massive opaque lung and opacity of lower lobe. In the former case, incidence of pleural effusion were 77% in partial opacity of upper lobe, 84% in opacity of upper lobe, and 92% in massive opaque lung. It seems that the larger the extent of opacification, the more the quantity of pleural effusion.
Of 82 cases with opacity of upper lobe and massive opaque lung, 5% had pleural effusion before opacification; 17%, simultaneously; 78%, after opacification, meanwhile, in 24 cases with opacity of lower lobe, 52%, 28%, and 20%, respectively.
34 cases (28%) out of the total did not have re-expansion within 1 year upon discontinuance of pneumothorax, 32 cases showed pleural effusion with opacity and 2 cases showed pleural effusion only.
54% of 56 cases with opacity of upper lobe and massive opaque lung and 15% of 13 cases with opacity of lower lobe did not have re-expansion within 1 year.
All cases in which opacities vanished within 3 months had their lungs re-expanded within 1 year.
Opacification of upper lobe and massive opaque lung were classified into the following 3 forms: triangle form, intermediate form and round form. 71% of the 17 cases of triangle form, 67% of 12 intermediate form cases and 38% of 16 cases of round form did not have re-expansion within 1 year.
Capes without pleural effusion, with little quantity of effusion and without opaque lung, and with moderate quantity of pleural effusion and without opaque lung did have re-expansion within 1 year. On the contrary, 25% of 24 cases with little quantity of effusion and opaque lung and 56% of 18 cases with moderate quantity of effusion and opaque lung did not have re-expansion within 1 year.
In case of marked quantity of effusion, 2 out of 3 cases without opaque lung and 16 out of 18 cases (89%) with opaque lung did not have re-expansion within 1 year.
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