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
Hauptverfasser: Clark, T.A., Hutchison, D.E., Deaner, R.M., Fitchett, V.H.
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container_issue 6
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container_title The American journal of surgery
container_volume 124
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. 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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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