Spontaneous pneumothorax in children: When is invasive treatment indicated?
Spontaneous pneumothorax in children: When is invasive treatment indicated?
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DOI：
10.1002/ppul.20734
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发表时间：
2008-01-01
影响因子：
3.1
通讯作者：
Robinson, P. J.
中科院分区：
文献类型：
--
作者：
O'Lone, E.;Elphick, H. E.;Robinson, P. J.
回顾性审查在儿童气胸提出了一个主要的三级儿童医院描述。在10年的时间里，31例自发性气胸患者中有35例被确诊。双侧气胸1例，复发性气胸3例。24例（69%）需要肋间管导管引流，平均4.9天（2-10天）。11例患者，包括2例CF患者和3例马凡氏综合征患者，在平均持续5.9天（范围2-16天）的空气泄漏后进行了二次手术。在11例随访研究中，CT扫描发现5例（45%）肺尖异常。在6例囊性纤维化患者和4例马凡氏综合征患者中发现气胸。目前的研究表明，除非肋间导管治疗能在5天内解决自发性气胸相关的漏气，否则很可能需要手术干预才能完全解决。
A retrospective review of pneumothoraces in children presenting to a major tertiary children's hospital is described. A total of 35 cases in 31 patients of spontaneous pneumothorax were identified over a 10-year period. There was one case of bilateral pneumothorax and three cases of recurrent pneumothoraces. Twenty-four cases (69%) required intercostal tube catheter drainage for a mean of 4.9 days (range 2-10 days). Eleven cases, including two cases in CF patients, and three cases in patients with Marfan's Syndrome proceeded to a secondary surgical procedure after a continuing air leak was present for an average of 5.9 days (range 2-16 days). In follow-up studies on 11 cases, 5 (45%) were found to have apical abnormalities of the lung on CT scanning. Pneumothoraces were identified in six cases of patients with cystic fibrosis as well as four in patients with Marfan's Syndrome. This present study has suggested that unless intercostal catheter treatment resolves the air leak associated with a spontaneous pneumothorax within 5 days that surgical intervention is most likely to be required to achieve a full resolution.