Reichl E, Wurbs W
Z Erkr Atmungsorgane. 1982;159(1):82-9.
This work presents the results of the conservative treatment of spontaneous pneumothorax. 315 cases hospitalized between 1965 and 1976 were analysed. The study was carried out regarding results, number of relapses, kind of diagnosis, symptoms and other parameters in dependence on form of therapy. In 18 cases serious complications were observed. The fractionated suction of air by means of the pneumothoracic apparatus the most frequent procedure, was applied in 199 cases, having relapses in 33%. In 57% of all cases this treatment led to a permanent reinflation of the lungs. With suction only and without any activities the relapse quotients were 33% and 53.5% respectively; with continued lung drainage it was as low as 20%. Only 12 patients needed a thoracotomy. Cases wanting long term primary lung drainage were very rare (3.45%). The results showed that the conservative internal treatment of spontaneous pneumothorax is justified in the most cases.
这项工作展示了自发性气胸保守治疗的结果。对1965年至1976年间住院的315例病例进行了分析。根据治疗方式，对结果、复发次数、诊断类型、症状及其他参数展开了研究。观察到18例出现严重并发症。借助气胸装置分次抽气是最常用的方法，199例采用了该方法，复发率为33%。在所有病例中，57%的患者肺部实现了永久性复张。仅进行抽气且无任何活动时，复发率分别为33%和53.5%；持续进行肺部引流时，复发率低至20%。仅12例患者需要开胸手术。需要长期进行原发性肺部引流的病例非常罕见（3.45%）。结果表明，大多数情况下，自发性气胸的保守内科治疗是合理的。
