Saha S P, Arrants J E, Kosa A, Lee W H
Ann Thorac Surg. 1975 May;19(5):561-4. doi: 10.1016/s0003-4975(10)64432-3.
Recurrence is the most common complication of spontaneous pneumothorax. Open thoracotomy with resection of obliteration of blebs and parietal pleurectomy provides the best protection against recurrence. Twenty-seven consecutive patients underwent open thoracotomy for recurrent pneumothorax with no mortality and minimum morbidity and have remained free from recurrence. We believe that thoracotomy should be more widely used in the treatment of what is called spontaneous pneumothorax, since this treatment may remove the real cause of the disease.
复发是自发性气胸最常见的并发症。开胸手术联合肺大疱切除及胸膜剥脱术能为预防复发提供最佳保护。连续27例复发性气胸患者接受了开胸手术，无一例死亡，发病率极低，且均未复发。我们认为，开胸手术在所谓的自发性气胸治疗中应得到更广泛应用，因为这种治疗可能消除该病的真正病因。
