Spontaneous pneumothorax
Spontaneous pneumothorax is usually a benign disorder caused by rupture of subpleural blebs. Treatment should provide for rapid rehabilitation. Because of a 70 to 80 per cent recurrence rate after a second or third episode, pleural abrasion should be performed to prevent further attacks. Persistent...
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Veröffentlicht in: | The American journal of surgery 1972-12, Vol.124 (6), p.728-731 |
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container_title | The American journal of surgery |
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creator | Clark, T.A. Hutchison, D.E. Deaner, R.M. Fitchett, V.H. |
description | Spontaneous pneumothorax is usually a benign disorder caused by rupture of subpleural blebs. Treatment should provide for rapid rehabilitation. Because of a 70 to 80 per cent recurrence rate after a second or third episode, pleural abrasion should be performed to prevent further attacks. Persistent air leak, large apical blebs, initial pneumothorax in flight personnel, and the rare tension or hemopneumothorax are additional indications for an immediate pleura-obliterating procedure. The method of treatment for the initial episode in patients without the foregoing indications for operation should be geared toward safe, early, complete rehabilitation to avoid the potential danger and obvious economic hardships of conservative therapy. Simple transaxillary thoracotomy has the advantages of taking less time and causing less discomfort and minimal scarring. |
doi_str_mv | 10.1016/0002-9610(72)90127-4 |
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Treatment should provide for rapid rehabilitation. Because of a 70 to 80 per cent recurrence rate after a second or third episode, pleural abrasion should be performed to prevent further attacks. Persistent air leak, large apical blebs, initial pneumothorax in flight personnel, and the rare tension or hemopneumothorax are additional indications for an immediate pleura-obliterating procedure. The method of treatment for the initial episode in patients without the foregoing indications for operation should be geared toward safe, early, complete rehabilitation to avoid the potential danger and obvious economic hardships of conservative therapy. Simple transaxillary thoracotomy has the advantages of taking less time and causing less discomfort and minimal scarring.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(72)90127-4</identifier><identifier>PMID: 4635216</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Methods ; Middle Aged ; Pneumothorax - diagnosis ; Pneumothorax - mortality ; Pneumothorax - surgery ; Pneumothorax - therapy ; Recurrence ; Smoking ; Thoracic Injuries - complications</subject><ispartof>The American journal of surgery, 1972-12, Vol.124 (6), p.728-731</ispartof><rights>1972</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-26e5c878ab50dd858d237bf7223807f220192769bac4f519eb981fce591b66683</citedby><cites>FETCH-LOGICAL-c357t-26e5c878ab50dd858d237bf7223807f220192769bac4f519eb981fce591b66683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002961072901274$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4635216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clark, T.A.</creatorcontrib><creatorcontrib>Hutchison, D.E.</creatorcontrib><creatorcontrib>Deaner, R.M.</creatorcontrib><creatorcontrib>Fitchett, V.H.</creatorcontrib><title>Spontaneous pneumothorax</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Spontaneous pneumothorax is usually a benign disorder caused by rupture of subpleural blebs. Treatment should provide for rapid rehabilitation. Because of a 70 to 80 per cent recurrence rate after a second or third episode, pleural abrasion should be performed to prevent further attacks. Persistent air leak, large apical blebs, initial pneumothorax in flight personnel, and the rare tension or hemopneumothorax are additional indications for an immediate pleura-obliterating procedure. The method of treatment for the initial episode in patients without the foregoing indications for operation should be geared toward safe, early, complete rehabilitation to avoid the potential danger and obvious economic hardships of conservative therapy. Simple transaxillary thoracotomy has the advantages of taking less time and causing less discomfort and minimal scarring.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Pneumothorax - diagnosis</subject><subject>Pneumothorax - mortality</subject><subject>Pneumothorax - surgery</subject><subject>Pneumothorax - therapy</subject><subject>Recurrence</subject><subject>Smoking</subject><subject>Thoracic Injuries - complications</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1972</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UEtLxDAQDqKs6-rdg4In0UM1kzSvy4IsvmDBg3oObTrFyrapSSv6723pskdPw_A9Zr6PkDOgN0BB3lJKWWIk0CvFrg0FppJ0j8xBK5OA1nyfzHeUQ3IU4-ewAqR8Rmap5IKBnJPT19Y3Xdag7-NF22Bf--7Dh-znmByU2SbiyXYuyPvD_dvqKVm_PD6v7taJ40J1CZMonFY6ywUtCi10wbjKS8UY11SVjFEwTEmTZy4tBRjMjYbSoTCQSyk1X5DLybcN_qvH2Nm6ig43m-knq0GKlHIxENOJ6IKPMWBp21DVWfi1QO1YiB3T2jGtVcMcC7HpIDvf-vd5jcVOtG1gwJcTjkPI7wqDja7CxmFRBXSdLXz1_4E_jzls6A</recordid><startdate>197212</startdate><enddate>197212</enddate><creator>Clark, T.A.</creator><creator>Hutchison, D.E.</creator><creator>Deaner, R.M.</creator><creator>Fitchett, V.H.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197212</creationdate><title>Spontaneous pneumothorax</title><author>Clark, T.A. ; Hutchison, D.E. ; Deaner, R.M. ; Fitchett, V.H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-26e5c878ab50dd858d237bf7223807f220192769bac4f519eb981fce591b66683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1972</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Pneumothorax - diagnosis</topic><topic>Pneumothorax - mortality</topic><topic>Pneumothorax - surgery</topic><topic>Pneumothorax - therapy</topic><topic>Recurrence</topic><topic>Smoking</topic><topic>Thoracic Injuries - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clark, T.A.</creatorcontrib><creatorcontrib>Hutchison, D.E.</creatorcontrib><creatorcontrib>Deaner, R.M.</creatorcontrib><creatorcontrib>Fitchett, V.H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clark, T.A.</au><au>Hutchison, D.E.</au><au>Deaner, R.M.</au><au>Fitchett, V.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous pneumothorax</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1972-12</date><risdate>1972</risdate><volume>124</volume><issue>6</issue><spage>728</spage><epage>731</epage><pages>728-731</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Spontaneous pneumothorax is usually a benign disorder caused by rupture of subpleural blebs. Treatment should provide for rapid rehabilitation. Because of a 70 to 80 per cent recurrence rate after a second or third episode, pleural abrasion should be performed to prevent further attacks. Persistent air leak, large apical blebs, initial pneumothorax in flight personnel, and the rare tension or hemopneumothorax are additional indications for an immediate pleura-obliterating procedure. The method of treatment for the initial episode in patients without the foregoing indications for operation should be geared toward safe, early, complete rehabilitation to avoid the potential danger and obvious economic hardships of conservative therapy. Simple transaxillary thoracotomy has the advantages of taking less time and causing less discomfort and minimal scarring.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>4635216</pmid><doi>10.1016/0002-9610(72)90127-4</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Elsevier ScienceDirect Journals |
subjects | Adolescent Adult Aged Female Humans Male Methods Middle Aged Pneumothorax - diagnosis Pneumothorax - mortality Pneumothorax - surgery Pneumothorax - therapy Recurrence Smoking Thoracic Injuries - complications |
title | Spontaneous pneumothorax |
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