Miller A C, Harvey J E
Mayday Hospital, Croydon.
BMJ. 1993 Jul 10;307(6896):114-6. doi: 10.1136/bmj.307.6896.114.
Simple flow diagrams, with explanatory notes, have been devised to assist in the immediate and subsequent management of patients presenting to casualty departments with spontaneous pneumothorax. They cover decision making about which patients require admission; whether a drainage procedure is necessary; if so, the appropriate method, including technical details; inpatient treatment; referral of inpatients to a respiratory specialist; and follow up arrangements. The guidelines, designed for incorporation into casualty and ward handbooks, have already proved valuable in several district general hospitals, and can be used as a basis for audit.
已设计出带有解释性注释的简单流程图，以协助对因自发性气胸而到急诊科就诊的患者进行即时和后续管理。这些流程图涵盖了关于哪些患者需要住院的决策；是否需要进行引流程序；如果需要，合适的方法，包括技术细节；住院治疗；将住院患者转诊给呼吸专科医生；以及后续安排。这些指南旨在纳入急诊科和病房手册，已在几家区综合医院证明很有价值，可作为审计的基础。
