Bärsch J, Preisler J, Wetzer K
Bezirkslungenklinik Lostau.
Z Gesamte Inn Med. 1989 Aug 1;44(15):448-51.
In the present study the aims were to analyse the difference in various treatment, complications and recurrence rates between patients with spontaneous pneumothorax and those associated with chronic obstructive lung disease (COLD). We made a retrospective analysis with regard to the therapy of all patients with spontaneous pneumothorax who were treated in the district lung hospital Lostau from 1. Jan 1986 to 31. Dec 1988 (171 patients, men: 136, women: 35). 45 patients suffered from a COLD (men: 42, women: 3). 3 methods of the treatment were set in: 1. conservative management by expectant observation, 2. the aspiration once or repeatedly with the pneumothorax apparatus and 3. the rubber-tube drainage. We consider the aspiration of spontaneous pneumothorax with pneumothorax apparatus as an effective method, which is not very burdensome for the patients. It is our opinion that the practice in patients with a COLD is more active than this in other patients, in form of the rubber-tube drainage.
在本研究中，目的是分析自发性气胸患者与慢性阻塞性肺疾病（COLD）相关患者在各种治疗方法、并发症及复发率方面的差异。我们对1986年1月1日至1988年12月31日在洛斯陶区肺病医院接受治疗的所有自发性气胸患者的治疗情况进行了回顾性分析（共171例患者，男性136例，女性35例）。45例患者患有COLD（男性42例，女性3例）。设定了3种治疗方法：1. 期待观察的保守治疗；2. 用气胸装置进行一次或多次抽气；3. 橡皮管引流。我们认为用气胸装置抽气治疗自发性气胸是一种有效的方法，对患者负担不大。我们认为，对于患有COLD的患者，采用橡皮管引流的治疗方式比其他患者更为积极。
