Mariusz L, Jacek G, Marek R, Kazimierz C
Katedry i Kliniki Chirurgii Klatki Piersiowej Slaskiej, Akademii Medycznej w Katowicach.
Pneumonol Alergol Pol. 1998;66(5-6):265-70.
Out of 235 patients discharged from the Department of Thoracic Surgery, Silesian Medical Academy, after treatment of primary spontaneous pneumothorax between 1981 and 1993, 232 (98.7%) answered our questionnaire and so were included in the study. Mean follow-up time was 10.4 years. No recurrence of the disease was reported by any of 79 patients who had been treated by surgical procedure/thoracotomy plus pleurectomy/, but 21 (14.3%) out of 147 treated by paracentesis reported a recurrence of pneumothorax. In 17 patients the recurrence was the first-time case, in 3 the second-time, in 1 the third-time. Out of 232 patients, 10 (4.3%) had a recurrence of pneumothorax on the opposite side. Achieving expansion of the lung, 80% of the patients reported no problems at all. Only 6 (2.6%) of the whole group stated they could no longer work in their profession because of the pneumothorax they had suffered in the past.
在1981年至1993年间，西里西亚医学院胸外科对235例原发性自发性气胸患者进行治疗后出院，其中232例（98.7%）回复了我们的问卷，因此被纳入研究。平均随访时间为10.4年。接受手术治疗（开胸手术加胸膜切除术）的79例患者均未报告疾病复发，但在147例接受穿刺抽气治疗的患者中，有21例（14.3%）报告气胸复发。17例患者为首次复发，3例为第二次复发，1例为第三次复发。在232例患者中，10例（4.3%）对侧出现气胸复发。80%的患者在肺复张方面没有任何问题。在整个研究组中，只有6例（2.6%）表示由于过去患过气胸，他们无法再从事原来的职业。
