O'Rourke J P, Yee E S
Department of Surgery, Quillen-Dishner College of Medicine, East Tennessee State University, Johnson City 37614.
Chest. 1989 Dec;96(6):1302-6. doi: 10.1378/chest.96.6.1302.
The treatment of spontaneous pneumothorax in the civilian population can be influenced by the age of the patient and the presence of associated pulmonary disease. The medical records of 130 patients who presented with 168 occurrences of SP were reviewed during an 11-year period (1973 to 1984). Follow-up was from a minimum of 30 months to 13 years (mean 6.3 years). The therapeutic options included observation alone (40 occurrences), thoracentesis (6 occurrences), chest tube thoracostomy (102 occurrences), and thoracotomy (20 occurrences). Treatment of SP should be prompt with the objective of complete re-expansion of the lung and prevention of recurrent pneumothorax. This should be accomplished by the use of chest tube thoracostomy with early addition of thoracotomy as necessary. Selected use of thoracentesis can be effective. The use of observation alone can be dangerous and is associated with a higher recurrence rate.
普通人群中自发性气胸的治疗会受到患者年龄及相关肺部疾病的影响。在11年期间（1973年至1984年），对130例出现168次自发性气胸（SP）的患者的病历进行了回顾。随访时间最短为30个月至13年（平均6.3年）。治疗选择包括单纯观察（40次）、胸腔穿刺术（6次）、胸腔闭式引流术（102次）和开胸手术（20次）。SP的治疗应迅速，目标是使肺完全复张并预防气胸复发。这应通过胸腔闭式引流术来实现，必要时尽早加做开胸手术。选择性使用胸腔穿刺术可能有效。单纯观察有危险且复发率较高。
