Cvetković Dragan, Cvetković Snežana, Giannone Bodo, Dutly André, Minotti Bruno
Zentrale Notfallaufnahme, Departement Interdisziplinäre medizinische Dienste, Kantonsspital St. Gallen, St. Gallen.
Allgemeine Innere Medizin, Medizinisches Departement, Kantonsspital St. Gallen, St. Gallen.
Praxis (Bern 1994). 2021 Sep;110(11):625-628. doi: 10.1024/1661-8157/a003723.
Outpatient Management of Primary Spontaneous Pneumothorax Pneumothorax (PT) is defined as a collapse of the lung due to the collection of air in the pleural space. In primary spontaneous pneumothorax (PSP) there is no underlying pulmonary pathology. Treatment, either conservative or invasive, depends on the size of the PT, the patient's clinical situation and the patient's setting/environment. According to the actual literature, the uncomplicated PSP can at best be treated conservatively and on an outpatient basis. Management with intervention (needle aspiration or chest drainage) is historically carried out on an inpatient basis, but outpatient management (without comorbidities and without symptoms) is also possible. In these cases, the patient compliance (motivation, cognition, support, housing situation …) has to be proven. For outpatient management with intervention, a small-caliber chest tube (<14 F) with a Heimlich valve should be used.
原发性自发性气胸的门诊管理 气胸（PT）定义为由于胸膜腔内积气导致的肺萎陷。在原发性自发性气胸（PSP）中，不存在潜在的肺部病变。治疗方法，无论是保守治疗还是侵入性治疗，都取决于气胸的大小、患者的临床状况以及患者的环境/背景。根据实际文献，单纯性PSP最多可进行保守治疗且在门诊进行。过去，干预性治疗（针吸或胸腔引流）是在住院基础上进行的，但门诊管理（无合并症且无症状）也是可行的。在这些情况下，必须证明患者的依从性（动机、认知、支持、居住情况……）。对于门诊干预性管理，应使用带有海姆利希瓣膜的小口径胸管（<14F）。
