Famos M, Hasse J, Grädel E
Helv Chir Acta. 1980 Jun;47(1-2):33-6.
Residual pneumothorax may result in spite of correct pleural drainage after lobectomy, segmental or wedge resection. This is due to persistent alveolar or bronchiolar air fistula particularly often in combination with a discrepancy between the size of the pleural cavity and the remaining lung tissue as in bilobectomy. The management of this problem is dealt with on the base of experiences with 56 cases in a consecutive series of 250 patients. It is shown that in a stabilized situation - mostly after 10 to 14 days - pleural drainages safely can be removed and spontaneous resorption of a residual pneumothorax can be expected without further treatment even after intervals of several months on an outpatient base. Bronchopleural fistula formation must be ruled out and absence of atelectasis or compressing effusion confirmed.
尽管在肺叶切除、肺段切除或楔形切除术后进行了正确的胸腔引流，仍可能出现残余气胸。这是由于持续性肺泡或细支气管气瘘，特别是在双叶切除术中，胸腔大小与剩余肺组织之间存在差异时更为常见。基于连续250例患者中的56例的经验，对该问题的处理进行了探讨。结果表明，在病情稳定的情况下（大多在10至14天后），可以安全地拔除胸腔引流管，即使在门诊随访数月后，残余气胸也有望在不进行进一步治疗的情况下自行吸收。必须排除支气管胸膜瘘的形成，并确认无肺不张或压迫性胸腔积液。
