Kutushev F Kh, Michurin N V, Sorinov A N, Chalenko V V
Vestn Khir Im I I Grek. 1990 Jan;144(1):32-4.
Questions of conservative and operative treatment are considered on the basis of studying 259 patients with spontaneous pneumothorax. In most of the patients the lung was spreaded by a single or permanent active aspiration of air from the pleural cavity. However, due to great amount of recurrences after the conservative treatment it should be more often followed by operative methods of treatment. Indications to operation are: failure of conservative spread of the lung, repeated collapse, recurrent pneumothoraxes and detection of subpleural bullas during thoracoscopy.
基于对259例自发性气胸患者的研究,对保守治疗和手术治疗的问题进行了探讨。在大多数患者中,通过单次或持续主动抽吸胸腔内气体使肺复张。然而,由于保守治疗后复发率较高,因此应更频繁地采用手术治疗方法。手术指征为:保守治疗肺复张失败、反复萎陷、复发性气胸以及胸腔镜检查发现胸膜下肺大疱。