综述：原发性自发性气胸的诊断与治疗。
Review: Diagnosis and treatment of primary spontaneous pneumothorax.
机构信息
Department of Surgery, St. Martin de Porres Hospital, Chia-Yi City 60069, Taiwan, China.
出版信息
J Zhejiang Univ Sci B. 2010 Oct;11(10):735-44. doi: 10.1631/jzus.B1000131.
Abstract
Primary spontaneous pneumothorax (PSP) commonly occurs in tall, thin, adolescent men. Though the pathogenesis of PSP has been gradually uncovered, there is still a lack of consensus in the diagnostic approach and treatment strategies for this disorder. Herein, the literature is reviewed concerning mechanisms and personal clinical experience with PSP. The chest computed tomography (CT) has been more commonly used than before to help understand the pathogenesis of PSP and plan further management strategies. The development of video-assisted thoracoscopic surgery (VATS) has changed the profiles of management strategies of PSP due to its minimal invasiveness and high effectiveness for patients with these diseases.
摘要
原发性自发性气胸（PSP）常发生于身材瘦高的青年男性。尽管 PSP 的发病机制已逐渐被揭示，但在该病的诊断方法和治疗策略方面仍缺乏共识。本文就 PSP 的发病机制及个人临床经验进行文献复习。与以往相比，胸部计算机断层扫描（CT）的应用更为广泛，有助于了解 PSP 的发病机制，并制定进一步的管理策略。由于其对这类疾病患者的微创性和高效性，电视辅助胸腔镜手术（VATS）的发展改变了 PSP 的管理策略。
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