Radomsky J, Becker H P, Hartel W
Pneumologie. 1989 May;43(5):250-3.
Intraoperative investigations after axillary thoracotomy in 28 patients with spontaneous pneumothorax shows true ruptures of subpleural bullae in 25% of the cases. In 75% structural pleural changes in the top of the lung are responsible for porosity and air leakage of the wall of the bullae. Pleural porosity causes a prolonged treatment of this illness. Appreciation of the phenomenon of "pleural porosity" is the key for understanding several questions regarding the diagnosis and treatment of spontaneous pneumothorax that had remained unanswered to date.
对28例自发性气胸患者行腋下开胸术后的术中检查显示，25%的病例存在胸膜下大疱的真性破裂。75%的病例中，肺尖部的结构性胸膜改变是大疱壁孔隙形成及漏气的原因。胸膜孔隙导致该病的治疗时间延长。认识“胸膜孔隙”现象是理解迄今为止关于自发性气胸诊断和治疗的几个未解决问题的关键。
