SPONTANEOUS PNEUMOTHORAX IN APPARENTLY HEALTHY FLYING PERSONNEL

Abstract
This report is an analysis of 38 episodes of spontaneous pheumothorax occurring in 25 apparently healthy flying personnel. The case studies included pulmonary function studies and chest roentgenograms in the altitude chamber. Three cases occurring in aerial flight were disabling because of pain and dyspnea resulting from altered ventilatory function and hypoxia of altitude. The etiology of pneumothorax is considered as, pleural adhesions, congenital cysts of the lung, scar tissue vesicles and emphysematous valve vesicles. These are usually bilateral in occurrence. The impression that congenital cysts, scar tissue vesicles and emphysematous valve vesicles are air-intrapped sacs is supported by X-ray studies at simulated altitude.

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