Abakumov M M, Abrosimov V A
Khirurgiia (Mosk). 1993 Feb(2):34-9.
The results of treatment of 226 patients with unspecific spontaneous pneumothorax in 1980-1990 are discussed. Poor efficacy of punctures of the pleural cavity (32.4%) is noted. Pleural cavity drainage proved to be effective in 79.7% of cases, both in primary and in recurrent pneumothorax. Chemical pleurodesis with tetracycline and 4% sodium bicarbonate solution was conducted in patients with complicated forms of pneumothorax (bronchopleural fistulas, hydropneumothorax). The advantage of 4% sodium bicarbonate solution over the tetracycline solution was obvious. To prevent the development of encapsulated hydrothorax the authors improved the method of pleural cavity drainage. The described method of instrumental treatment of spontaneous pneumothorax allowed injurious surgical intervention and recurrent pneumothorax to be avoided in 100% of cases.
讨论了1980 - 1990年间226例非特异性自发性气胸患者的治疗结果。注意到胸腔穿刺的疗效不佳（32.4%）。胸腔引流在79.7%的病例中被证明是有效的，无论是原发性还是复发性气胸。对气胸复杂形式（支气管胸膜瘘、液气胸）的患者进行了四环素和4%碳酸氢钠溶液的化学胸膜固定术。4%碳酸氢钠溶液相对于四环素溶液的优势明显。为防止包裹性胸腔积液的发生，作者改进了胸腔引流方法。所描述的自发性气胸器械治疗方法在100%的病例中避免了有害的手术干预和复发性气胸。
