Talbot-Stern J, Richardson H, Tomlanovich M C, Obeid F, Nowak R M
J Emerg Med. 1986;4(6):437-42. doi: 10.1016/0736-4679(86)90172-1.
A prospective study was conducted in the emergency setting to determine the efficacy of treatment of simple pneumothorax by catheter aspiration. Patients who were successfully treated were discharged to home. Sixty-one patients with a total of 76 pneumothoraces were involved in the study. The overall success rate was 75.6%, with an 82% success rate for needle-induced, 75% for traumatic, and 45% for spontaneous pneumothorax. The duration of symptoms, the size of the pneumothorax, the patient's age, and a prior history of pneumothorax did not affect the outcome. The poorest results were noted with spontaneous pneumothoraces, as would be expected since a majority of these patients have preexistent lung disease. Catheter aspiration of simple pneumothorax offers a cost-effective approach to this clinical problem.
在急诊环境中进行了一项前瞻性研究，以确定通过导管抽吸治疗单纯气胸的疗效。成功治疗的患者出院回家。共有76例气胸的61例患者参与了该研究。总体成功率为75.6%，其中针刺诱发气胸的成功率为82%，创伤性气胸为75%，自发性气胸为45%。症状持续时间、气胸大小、患者年龄和气胸既往史均不影响治疗结果。正如预期的那样，自发性气胸的治疗效果最差，因为这些患者中的大多数都有既往肺部疾病。单纯气胸的导管抽吸为这一临床问题提供了一种经济有效的治疗方法。
