Management of primary spontaneous pneumothorax: less is more

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چکیده

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Ambulatory management of large primary spontaneous pneumothorax.

In a recent issue of the European Respiratory Journal, MASSONGO et al. [1] reported the results of a prospective study dealing with ambulatory management of primary spontaneous pneumothorax (PSP) using a pigtail catheter with one-way valve in a series of 60 consecutive patients. The authors reported a success rate of 83%, a 1-year recurrence rate of 17% and full outpatient management in 50% of ...

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Management of spontaneous pneumothorax.

Management of patients with a spontaneous pneumothorax continues to challenge clinicians. Recent guidelines help provide care pathways for these patients and highlight the many areas in need of additional study. Management options for spontaneous pneumothoraces should be selected based primarily upon a patient's clinical status. Observation or pleural air drainage, in selected patients, plays a...

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Management of spontaneous pneumothorax.

Spontaneous pneumothorax occurring In the apparently healthy individual was first named and described by Itard’ in 1803. In 1826 Laennec2 accurately described the occurrence of such a phenomenum, and following McDowell3 in 1856, who described the condition In a tuberculous patient, the etiology was accepted as tuberculous in the majority of cases until Kjaergaard4 (1932 and 1933) revealed that ...

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Recurrence of primary spontaneous pneumothorax.

BACKGROUND Primary spontaneous pneumothorax (PSP) is a common clinical problem and its incidence is thought to be increasing. The risk of recurrence is high and various studies quote rates of 20-60%. Factors which may or may not predispose to recurrence have not yet been established. METHODS In a study period of four years 291 cases with a diagnosis of pneumothorax were reviewed; 153 patients...

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Etiology of primary spontaneous pneumothorax.

With the advent of HRCT, primary spontaneous pneumothorax has come to be better understood and managed, because its etiology can now be identified in most cases. Primary spontaneous pneumothorax is mainly caused by the rupture of a small subpleural emphysematous vesicle (designated a bleb) or of a subpleural paraseptal emphysematous lesion (designated a bulla). The aim of this pictorial essay w...

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ژورنال

عنوان ژورنال: The Lancet

سال: 2020

ISSN: 0140-6736

DOI: 10.1016/s0140-6736(20)32674-x