Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan.
Expert Rev Respir Med. 2020 Jun;14(6):587-591. doi: 10.1080/17476348.2020.1740090. Epub 2020 Mar 15.
: Pneumothorax is defined as the presence of air in the pleural space. Spontaneous pneumothorax, occurring without antecedent traumatic or iatrogenic cause, is classified as primary or secondary. There are substantial inconsistencies in international guidelines for the treatment of pneumothorax. Moreover, many geographical variations exist in daily clinical practice.: In this article, we focus on novel treatment modalities for this significant health problem in young adults.: In part, these discrepancies have been caused by the lack of high-quality trials or evidence. Currently, the pathophysiological mechanisms underlying pneumothorax are better understood and have implications for clinical management. Studies have demonstrated that the judicious use of pleurodesis can decrease its rate of recurrence, both in surgical and nonsurgical patients.
气胸是指胸膜腔内存在空气。自发性气胸，即在没有先前创伤或医源性原因的情况下发生，可分为原发性或继发性。国际指南对于气胸的治疗存在实质性的不一致。此外，在日常临床实践中也存在许多地理差异。在本文中，我们重点关注治疗年轻人气胸的新方法。部分原因是缺乏高质量的试验或证据。目前，气胸的病理生理机制得到了更好的理解，对临床管理有一定的影响。研究表明，在手术和非手术患者中，合理使用胸膜固定术可以降低其复发率。
