Pediatric pneumothorax: Case studies and review of current literature.
Pediatric pneumothorax: Case studies and review of current literature.
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DOI：
10.1016/j.rmcr.2021.101548
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发表时间：
2021
影响因子：
1.1
通讯作者：
Rezaee F
中科院分区：
文献类型：
--
作者：
Yousuf S;Cardenas S;Rezaee F
气胸是肺和胸壁之间的空气异常聚集。由美国胸科医师学会、欧洲呼吸学会和英国胸科学会提出的气胸管理指南是针对成年患者的。这些指南在儿科人群中的效用尚未得到解决，这导致年轻患者的管理差异显著。此外，气胸的治疗范围从保守治疗到手术治疗，但这些方法、时间表和有效性尚未在大量儿科患者中得到验证。在此，我们提出三个不同临床病程的小儿气胸病例，其中一个尽管有胸管但仍有持续漏气，并接受电视胸腔镜手术及心尖泡切除术。相比之下，其他两例病例的治疗更为保守。我们回顾了目前有关小儿气胸患者诊断和治疗的文献，强调需要针对这一人群制定指南。
Pneumothorax is an abnormal collection of air between the lung and chest wall. Pneumothorax management guidelines put forth by the American College of Chest Physicians, European Respiratory Society, and British Thoracic Society are specific to adult patients. These guidelines' utility has not been addressed in pediatric populations, which causes significant management variation in younger patients. Additionally, pneumothorax management ranges from conservative to surgical treatment, but these approaches, timelines, and effectiveness have not been validated in significant numbers of pediatric patients. Here, we present three cases of pediatric pneumothorax with variable clinical courses—one with persistent air leak despite chest tube presence who underwent VATS and surgical resection of apical blebs. In contrast, the other two cases were managed more conservatively. We reviewed the current literature for diagnostic and management of pediatric patients with pneumothorax, which underscores the need for guidelines specific to this population.
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