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儿童气胸与纵隔气肿

Pneumothorax and pneumomediastinum in children.

作者信息

Aker Cemal, Selin Onay Mahmuti, Cansever Levent

机构信息

Department of Thoracic Surgery, Health Sciences University, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Feb 5;32(Suppl1):S37-S42. doi: 10.5606/tgkdc.dergisi.2024.25755. eCollection 2024 Jan.

DOI:10.5606/tgkdc.dergisi.2024.25755
PMID:38584791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10995689/
Abstract

Pneumothorax is a condition that describes the presence of air between the visceral and parietal pleura sheets and the consequent collapse of the lungs. The collapse of the lungs can be partial or total and can present in different clinical stages, such as a high-pressure pneumothorax that can cause a mediastinal shift. Pneumomediastinum is the presence of free air between the mediastinal tissues due to various causes. It can manifest spontaneously and be minimally symptomatic but can also develop due to severe complications. Its etiology includes numerous iatrogenic and traumatic factors. Although spontaneous pneumothorax and pneumomediastinum that develop in childhood are similar to adult patients, it is important to determine the appropriate treatment strategy in addition to the age group, the effectiveness of the treatment, the role of the applied treatment in reducing recurrence, and the etiologyoriented treatments if there is an underlying pathology.

摘要

气胸是一种描述脏层和壁层胸膜之间存在空气以及随之而来的肺萎陷的病症。肺萎陷可以是部分性的或完全性的,并且可以出现在不同的临床阶段,例如可导致纵隔移位的高压性气胸。纵隔气肿是由于各种原因导致纵隔组织之间存在游离气体。它可自发出现且症状轻微,但也可因严重并发症而发生。其病因包括众多医源性和创伤性因素。虽然儿童期发生的自发性气胸和纵隔气肿与成年患者相似,但除了年龄组、治疗效果、所应用治疗在降低复发率方面的作用以及如果存在潜在病理情况时的病因导向治疗外,确定合适的治疗策略也很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/42c45234a7f6/TJTCS-2024-32-10-037-042-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/9d629fde992d/TJTCS-2024-32-10-037-042-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/d1acc60da825/TJTCS-2024-32-10-037-042-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/42c45234a7f6/TJTCS-2024-32-10-037-042-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/9d629fde992d/TJTCS-2024-32-10-037-042-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/d1acc60da825/TJTCS-2024-32-10-037-042-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/532e/10995689/42c45234a7f6/TJTCS-2024-32-10-037-042-F3.jpg

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本文引用的文献

1
Wedge resection and pleurodesis through single-incision videothoracoscopic transmediastinal approach for bilateral spontaneous pneumothorax.单切口电视胸腔镜经纵隔入路楔形切除术及胸膜固定术治疗双侧自发性气胸
Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Apr 28;31(2):295-299. doi: 10.5606/tgkdc.dergisi.2023.20843. eCollection 2023 Apr.
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Did primary spontaneous pneumomediastinum risk factor alter in the period of COVID-19 pandemia?原发性自发性纵隔气肿的危险因素在 COVID-19 大流行期间是否发生了变化?
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欧洲小儿外科医生协会关于儿童原发性自发性气胸治疗的调查
Eur J Pediatr Surg. 2022 Oct;32(5):415-421. doi: 10.1055/s-0041-1739420. Epub 2021 Nov 25.
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Pediatric pneumothorax: Case studies and review of current literature.小儿气胸:病例研究及当前文献综述
Respir Med Case Rep. 2021 Nov 10;34:101548. doi: 10.1016/j.rmcr.2021.101548. eCollection 2021.
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Update in management of paediatric primary spontaneous pneumothorax.小儿原发性自发性气胸管理的最新进展
Paediatr Respir Rev. 2022 Mar;41:73-79. doi: 10.1016/j.prrv.2021.08.001. Epub 2021 Aug 10.
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Minimally invasive approach to pneumothorax: Single port or two ports?气胸的微创治疗方法:单孔还是双孔?
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Apr 22;28(2):347-351. doi: 10.5606/tgkdc.dergisi.2020.18778. eCollection 2019 Jun.
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A comparison of axillary thoracotomy versus video-assisted thoracoscopic surgery in the surgical treatment of primary spontaneous pneumothorax.腋下开胸术与电视辅助胸腔镜手术治疗原发性自发性气胸的比较
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jan 9;26(1):132-137. doi: 10.5606/tgkdc.dergisi.2018.15279. eCollection 2018 Jan.
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Management of Spontaneous Pneumothorax in Children: A Systematic Review and Meta-Analysis.儿童自发性气胸的管理:一项系统评价与荟萃分析
Eur J Pediatr Surg. 2020 Feb;30(1):2-12. doi: 10.1055/s-0039-3402522. Epub 2020 Jan 3.
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Needle aspiration versus intercostal tube drainage for pneumothorax in the newborn.新生儿气胸的针吸术与肋间置管引流术对比
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10
Optimal timing of video-assisted thoracoscopic surgery for primary spontaneous pneumothorax in children.儿童原发性自发性气胸的电视辅助胸腔镜手术最佳时机
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