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自发性气胸的病理生理学、临床评估及治疗选择

Pathophysiology, clinical evaluation and treatment options of spontaneous pneumothorax.

作者信息

Yazkan Rasih, Han Serdar

机构信息

Clinic of Chest Surgery, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey.

出版信息

Tuberk Toraks. 2010;58(3):334-43.

PMID:21038147
Abstract

An apical subpleural bleb is most common pathology of primary spontaneous pneumothorax however, chronic obstructive pulmonary disease is most common cause of secondary spontaneous pneumothorax. The diagnosis is confirmed by physical examination, chest radiography and thoracoscopic examination. The typical person who present has an asthenic body, being taller and thinner than the average person. Spontaneous pneumothorax can seen in some special part of life such as; catamenial pneumothorax and during pregnancy. Therapeutic options of primary spontaneous pneumothorax is include the conservative, intermediate and invasive procedure. In conclusion we aimed the report pathophysiology, clinical evaluation and treatment options of spontaneous pneumothorax in the light of literatures with a review article.

摘要

肺尖部胸膜下肺大疱是原发性自发性气胸最常见的病理表现,然而,慢性阻塞性肺疾病是继发性自发性气胸最常见的病因。通过体格检查、胸部X线摄影和胸腔镜检查可确诊。典型的患者体型虚弱,比一般人更高更瘦。自发性气胸可见于生活中的一些特殊时期,如月经性气胸和妊娠期。原发性自发性气胸的治疗选择包括保守治疗、中等程度治疗和侵入性治疗。总之,我们旨在通过一篇综述文章,结合文献报道自发性气胸的病理生理学、临床评估和治疗选择。

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1
Pathophysiology, clinical evaluation and treatment options of spontaneous pneumothorax.自发性气胸的病理生理学、临床评估及治疗选择
Tuberk Toraks. 2010;58(3):334-43.
2
[Spontaneous pneumothorax: a review article].[自发性气胸:一篇综述文章]
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A single-stage video-assisted thoracoscopic surgery procedure for simultaneous bilateral spontaneous pneumothorax in a supine position.仰卧位单阶段电视辅助胸腔镜手术治疗双侧同时性自发性气胸。
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Single stage minimally invasive bilateral video assisted thoracoscopic surgery for simultaneous bilateral primary spontaneous pneumothorax.单阶段微创双侧电视辅助胸腔镜手术治疗同期双侧原发性自发性气胸。
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In patients with first-episode primary spontaneous pneumothorax is video-assisted thoracoscopic surgery superior to tube thoracostomy alone in terms of time to resolution of pneumothorax and incidence of recurrence?在首次发作的原发性自发性气胸患者中,就气胸消散时间和复发率而言,电视辅助胸腔镜手术是否优于单纯胸腔闭式引流术?
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引用本文的文献

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Comparison of Clinical Characteristics and Prognosis Among Spontaneous Pneumothorax Patients of Different Ages: A Two-Year Follow-Up Study.不同年龄自发性气胸患者的临床特征与预后比较:一项两年随访研究
Int J Gen Med. 2024 Dec 6;17:5849-5858. doi: 10.2147/IJGM.S397474. eCollection 2024.
2
Minimally invasive approach to pneumothorax: Single port or two ports?气胸的微创治疗方法:单孔还是双孔?
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Apr 22;28(2):347-351. doi: 10.5606/tgkdc.dergisi.2020.18778. eCollection 2019 Jun.
3
Do Meteorological Changes Have an Effect on The Occurence of Spontaneous Pneumothorax?
气象变化对自发性气胸的发生有影响吗?
Turk Thorac J. 2016 Jul;17(3):89-92. doi: 10.5578/ttj.30502. Epub 2016 Jul 1.
4
Is it possible to standardize the treatment of primary spontaneous pneumothorax? Part 2: surgical methods of treatment.原发性自发性气胸的治疗能够标准化吗?第二部分:手术治疗方法。
Kardiochir Torakochirurgia Pol. 2016 Dec;13(4):328-333. doi: 10.5114/kitp.2016.64875. Epub 2016 Dec 30.