Bevelaqua F A, Aranda C
Chest. 1982 Jun;81(6):693-4. doi: 10.1378/chest.81.6.693.
We reviewed the case histories and roentgenograms of 50 patients with spontaneous pneumothorax who underwent small lumen catheter aspiration. The results were analyzed with regard to the presence or absence of preexisting lung disease. Patients with no history of previous lung disease and no roentgenogram abnormality other than the pneumothorax had a 66 percent chance of successful reinflation using the technique of manual aspiration described here. Patients with evidence of tension pneumothorax, bullae, pleural adhesions, and active tuberculosis were treated unsuccessfully. None of the patients experienced any complication from this procedure. Our results indicate that many patients with spontaneous pneumothorax may be quickly and successfully treated with small lumen catheter manual aspiration.
我们回顾了50例接受小口径导管抽气治疗的自发性气胸患者的病历和X线片。根据是否存在既往肺部疾病对结果进行了分析。既往无肺部疾病史且除气胸外无X线片异常的患者,采用本文所述的手动抽气技术,复张成功的几率为66%。有张力性气胸、肺大疱、胸膜粘连和活动性肺结核证据的患者治疗失败。所有患者均未因该操作出现任何并发症。我们的结果表明,许多自发性气胸患者可通过小口径导管手动抽气得到快速且成功的治疗。