Krumhaar D, Mollinedo J, Gau A
Lungenklinik Havelhöhe, Berlin.
Langenbecks Arch Chir. 1988;Suppl 2:501-3.
Spontaneous pneumothorax was treated by primary thoracotomy in 225 patients (1974-1988) in the Thoracic Unit Havelhöhe (Berlin-West). The patients' average age was 25 years (11-60 y.) and the male/female ratio was 169/56. Subpleural cystic lesions were regularly found: segment 1 was affected in 178 cases, other segments in 47 cases. Peripheral resections were performed in 218 and segmental resections in seven patients. Operative results were excellent with no postoperative deaths and no recurrence of pneumothorax. Primary thoracotomy is recommended as treatment of spontaneous pneumothorax.
1974年至1988年间，哈弗尔霍厄胸科病房（西柏林）对225例自发性气胸患者进行了一期开胸手术治疗。患者平均年龄为25岁（11至60岁），男女比例为169/56。经常发现胸膜下囊性病变：178例累及第1段，47例累及其他段。218例行周边切除术，7例行节段切除术。手术效果极佳，无术后死亡病例，气胸无复发。建议将一期开胸手术作为自发性气胸的治疗方法。
