Pneumothorax - Experience with 1,199 patients
Pneumothorax - Experience with 1,199 patients
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DOI：
10.1378/chest.117.5.1279
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发表时间：
2000-05-01
期刊：
影响因子：
9.6
通讯作者：
Refaely, Y
中科院分区：
文献类型：
--
作者：
Weissberg, D;Refaely, Y
目的：研究气胸在大学附属大都会医学中心治疗的结果。设计：回顾性分析。地点：忙碌的大都会医学中心。患者和方法：结果：原发性自发性气胸218例，继发性自发性气胸505例，外伤性气胸403例，医源性气胸73例。893例患者（81%）持续胸腔引流1 - 7天，176例患者（16%）持续胸腔引流8 - 10天，34例患者（3%）持续胸腔引流> 10天。引流> 10天被归类为持续性气胸。在这34例患者和132人，第二次同侧复发（共166例），直接胸膜镜检查进行，胸膜镜检查结果和进一步的管理中概述的algorithm.Conclusions：气胸是一种常见的条件，影响所有年龄组。如果气胸体积大于胸膜腔的20%，则需要胸腔引流。对于持续性或复发性气胸的治疗，胸膜镜检查（直接或视频辅助）具有重要价值，应作为常规治疗的一部分。
Objective: To study the outcome of pneumothorax managed in a university-affiliated metropolitan medical center.Design: A retrospective review.Setting: Busy metropolitan medical center. Patients and Methods: Records of 1,199 patients with pneumothorax were reviewed and analyzed.Results: Primary spontaneous pneumothorax occurred in 218 patients, secondary spontaneous pneumothorax: occurred in 505, traumatic in 403, and iatrogenic in 73, Ninety-six patients with small pneumothorax; (8%) were managed by observation, and 1,103 patients (92%) were managed by tube thoracostomy. Drainage of the pleural cavity was continued for 1 to 7 days in 893 patients (81%), 8 to 10 days in 176 patients (16%), and > 10 days in 34 patients (3%). Drainage for > 10 days was classified as persistent pneumothorax. In these 34 patients and in 132 others,vith a second ipsilateral recurrence (a total of 166 patients), direct pleuroscopy was performed, The pleuroscopy findings and further management are outlined in the algorithm.Conclusions: Pneumothorax is a common condition affecting all age groups. If the volume of the pneumothorax is > 20% of the pleural space, pleural drainage is indicated. For management of persistent or recurrent pneumothorax, the use of pleuroscopy (direct or video-assisted) is of great value and should be part of routine management.