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(p=0,56),primitif ou secondaire de A retrospective comparative study was
pneumothorax (p=0,038) ou le nombre de jours conducted involving 112 patients hospitalized in
de drainage (supérieur à 5) (p=0,713). the Pneumology Department 3, at
Abderrahmane Mami Hospital between
Conclusion :
January 2021 and June 2024. All patients
Le drainage thoracique est le traitement de underwent thoracic CT angiography to confirm
référence de pneumothorax spontané mais il the diagnosis.
peut entrainer des complications qui peuvent The patients were divided into two groups:
être grave, essentiellement lié selon notre
étude au diamètre de drain et le caractère total • Group 1 (G1): 72 patients with unilateral
ou partiel du pneumothorax and distal pulmonary embolism.
• Group 2 (G2): 40 patients with proximal
and/or bilateral pulmonary embolism.
P88 Results:
ASSESSING THE IMPACT OF The two groups were comparable in terms of
PULMONARY EMBOLISM EXTENT male predominance, with a sex ratio of 4.14 in G1
ON CLINICAL OUTCOMES: and 19 in G2 (p=0.13). The mean age was 59±11
years for G1 and 59±16 years for G2 (p=0.9).
INSIGHTS FROM CT IMAGING Active smoking (p=0.22), average tobacco
consumption (53±29 pack-years in G1, 43±24
C. KSOURI*, C. MOUSSA*, H. ROUIS*, A. JAMAI*, R.
CHEOUR*, A. KHATTAB*, I. ZENDAH*, S. MAALEJ* pack-years in G2, p=0.2), and smoking cessation
(p=0.3) were comparable between the two
PNEUMOLOGY DEPARTMENT 3, ABDERRAHMANE MAMI
HOSPITAL groups.
Comorbidities were dominated by
Introduction: cardiovascular (p=0.5), respiratory (p=0.5), and
thromboembolic diseases (p=0.2) without
Pulmonary embolism (PE) is a vascular significant differences.
pathology. Quantifying the extent of lesions
observed on thoracic CT angiography is crucial The initial clinical presentation was dominated
for assessing clinical severity and guiding by dyspnea (p=0.8), hemoptysis (p=0.5), chest
therapeutic management. Several studies have pain (p=0.33), and general condition
suggested a link between the extent of deterioration (p=0.67), with no significant
vascular occlusions and the severity of clinical differences.
symptoms, including dyspnea, hypoxemia, and Except for a lower average oxygen saturation
mortality risk. However, the variability in clinical
presentations and imaging findings requires a (SaO2) in G2 patients (92±4 G1 vs. 88±4 G2,
thoroug analysis to understand this p=0.021), the examination upon admission was
relationship better. comparable between the two groups
[respiratory rate (p=0.31), signs of respiratory
This study aims to explore the correlation distress (p=0.58) and tachycardia (p=0.85)].
between the extent of PE lesions visualized on
thoracic CT angiography and the clinical Seventy percent (69.4%) of G1 and 60% of G2
severity of patients, in order to improve had a partial pressure of oxygen in arterial
diagnostic and treatment strategies. blood (PaO2) <60 mmHg (p=0.47). Fifty percent
of patients in both groups required oxygen
Method: therapy (p=1) with an average flow rate of 2.8±2
L/min for G1 and 1.6±2 L/min for G2 (p=0.11), and
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