Hilton Paul
Unit Medical Assessment, Aintree University Hospital, Liverpool.
Nurs Times. 2004;100(28):32-3.
Pneumothorax is the presence of air within the pleural space. The objective of any treatment of pneumothorax, if required, is to remove the air, allowing re-expansion of the lung, to facilitate pleural healing and prevent recurrence. Two clinical trials conducted in the 1960s led to opposing recommendations for the initial management of spontaneous pneumothorax, and a debate has continued since. This literature review examines the evidence for which treatment is more successful at reinflating the lung, reducing hospital stay, and preventing recurrence.
气胸是指胸膜腔内存在气体。如有必要,气胸治疗的目标是排出气体,使肺复张,促进胸膜愈合并防止复发。20世纪60年代进行的两项临床试验得出了关于自发性气胸初始治疗的相反建议,此后争论一直持续。这篇文献综述探讨了哪种治疗方法在使肺复张、缩短住院时间和预防复发方面更成功的证据。