Matsuura Y, Nomimura T, Murakami H, Matsushima T, Kakehashi M, Kajihara H
1st Department of Surgery, School of Medicine, Hiroshima University, Japan.
Chest. 1991 Dec;100(6):1562-6. doi: 10.1378/chest.100.6.1562.
Twenty-one of 146 cases of spontaneous pneumothorax that were treated by thoracentesis or continuous low negative pressure suction drainage (-12 cm H2O) of the pleural space developed REPE. The rate of REPE was higher in patients 20 to 39 years of age than in those over the age of 40, and the rate progressively increased in proportion to the extent of pneumothorax, as assessed by roentgenographic criteria. It is postulated that age-related changes in the lung may afford some degree of protection against developing REPE. It is also suggested that the treatment of pneumothorax with thoracentesis and/or suction drainage in young patients, or in the face of a large pneumothorax, requires careful consideration in view of a relatively high incidence of REPE in such individuals.
146例接受胸腔穿刺或胸腔持续低负压吸引引流（-12 cm H₂O）治疗的自发性气胸患者中，有21例发生了复发性气胸（REPE）。20至39岁患者的REPE发生率高于40岁以上患者，并且根据X线标准评估，REPE发生率随气胸程度的增加而逐渐升高。据推测，肺部与年龄相关的变化可能为预防REPE提供一定程度的保护。还建议，鉴于年轻患者或存在大量气胸时REPE发生率相对较高，对此类患者采用胸腔穿刺和/或吸引引流治疗气胸时需谨慎考虑。
