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原发性自发性气胸的治疗能否标准化？第一部分：病因、症状、诊断、微创治疗。

Is it possible to standardize the treatment of primary spontaneous pneumothorax? Part 1: etiology, symptoms, diagnostics, minimally invasive treatment.

作者信息

Rokicki Wojciech, Rokicki Marek, Wojtacha Jacek, Filipowski Marek, Dżejlili Agata, Czyżewski Damian

机构信息

Department of Thoracic Surgery in Zabrze, Medical University of Silesia in Katowice, Poland.

Department of Surgery, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland.

出版信息

Kardiochir Torakochirurgia Pol. 2016 Dec;13(4):322-327. doi: 10.5114/kitp.2016.64874. Epub 2016 Dec 30.

DOI:10.5114/kitp.2016.64874
PMID:28096829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5233762/
Abstract

The authors of this report present the history of primary spontaneous pneumothorax (PSP) treatment, its etiology, clinical symptoms, and diagnostic methodology. Further, they discuss minimally invasive methods of treating PSP such as thoracentesis and chemical pleurodesis. They discuss the pros and cons of each method, emphasizing that, according to the international recommendations, they should be used as the first line of treatment for PSP.

摘要

本报告的作者介绍了原发性自发性气胸（PSP）的治疗历史、病因、临床症状及诊断方法。此外，他们还讨论了治疗PSP的微创方法，如胸腔穿刺术和化学性胸膜固定术。他们探讨了每种方法的优缺点，并强调根据国际建议，这些方法应作为PSP的一线治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a2/5233762/122c25ab9642/KITP-13-29002-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a2/5233762/122c25ab9642/KITP-13-29002-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a2/5233762/122c25ab9642/KITP-13-29002-g001.jpg

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本文引用的文献

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Spontaneous pneumothorax: time to rethink management?自发性气胸：是否需要重新考虑治疗方法？
Lancet Respir Med. 2015 Jul;3(7):578-88. doi: 10.1016/S2213-2600(15)00220-9.
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ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax.ERS 工作组声明：原发性自发性气胸的诊断和治疗。
Eur Respir J. 2015 Aug;46(2):321-35. doi: 10.1183/09031936.00219214. Epub 2015 Jun 25.
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Videothoracoscopy versus thoracotomy for the treatment of spontaneous pneumothorax: a propensity score analysis.电视胸腔镜与开胸手术治疗自发性气胸的倾向评分分析
Ann Thorac Surg. 2015 Jan;99(1):258-63. doi: 10.1016/j.athoracsur.2014.08.035. Epub 2014 Nov 20.
4
Intrapleural minocycline pleurodesis for the treatment of primary spontaneous pneumothorax.胸膜腔内注射米诺环素胸膜固定术治疗原发性自发性气胸
Curr Opin Pulm Med. 2014 Jul;20(4):371-6. doi: 10.1097/MCP.0000000000000067.
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Ambulatory management of large spontaneous pneumothorax with pigtail catheters.带猪尾巴导管的大型自发性气胸门诊管理。
Ann Emerg Med. 2014 Sep;64(3):222-8. doi: 10.1016/j.annemergmed.2013.12.017. Epub 2014 Jan 15.
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Efficacy assessment of the drainage with permanent airflow measurement in the treatment of pneumothorax with air leak.采用永久性气流测量法进行引流治疗气胸漏气的疗效评估
Thorac Cardiovasc Surg. 2014 Sep;62(6):509-15. doi: 10.1055/s-0033-1359714. Epub 2013 Dec 2.
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Outpatient management of primary spontaneous pneumothorax: a prospective study.原发性自发性气胸的门诊管理：一项前瞻性研究。
Eur Respir J. 2014 Feb;43(2):582-90. doi: 10.1183/09031936.00179112. Epub 2013 Jun 13.
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Small-bore chest tubes seem to perform better than larger tubes in treatment of spontaneous pneumothorax.在治疗自发性气胸方面，细口径胸管似乎比大口径胸管效果更好。
Dan Med J. 2013 Jun;60(6):A4644.
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The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion.胸腔镜胸膜固定术治疗原发性自发性气胸的效果：尖部壁层胸膜切除术与胸膜摩擦术的比较
Korean J Thorac Cardiovasc Surg. 2012 Oct;45(5):316-9. doi: 10.5090/kjtcs.2012.45.5.316. Epub 2012 Oct 9.
10
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Interact Cardiovasc Thorac Surg. 2013 Feb;16(2):186-92. doi: 10.1093/icvts/ivs445. Epub 2012 Nov 1.