| Pneumothorax: experience with 1,199 patients. | |
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MedLine Citation:
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PMID: 10807811 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the outcome of pneumothorax managed in a university-affiliated metropolitan medical center. DESIGN: A retrospective review. SETTING: Busy metropolitan medical center. PATIENTS AND METHODS: Records of 1,199 patients with pneumothorax were reviewed and analyzed. RESULTS: Primary spontaneous pneumothorax occurred in 218 patients, secondary spontaneous pneumothorax occurred in 505, traumatic in 403, and iatrogenic in 73. Ninety-six patients with small pneumothorax (8%) were managed by observation, and 1,103 patients (92%) were managed by tube thoracostomy. Drainage of the pleural cavity was continued for 1 to 7 days in 893 patients (81%), 8 to 10 days in 176 patients (16%), and > 10 days in 34 patients (3%). Drainage for > 10 days was classified as persistent pneumothorax. In these 34 patients and in 132 others with a second ipsilateral recurrence (a total of 166 patients), direct pleuroscopy was performed. The pleuroscopy findings and further management are outlined in the algorithm. CONCLUSIONS: Pneumothorax is a common condition affecting all age groups. If the volume of the pneumothorax is > 20% of the pleural space, pleural drainage is indicated. For management of persistent or recurrent pneumothorax, the use of pleuroscopy (direct or video-assisted) is of great value and should be part of routine management. |
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Authors:
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D Weissberg; Y Refaely |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 117 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 2000 May |
Date Detail:
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Created Date: 2000-06-06 Completed Date: 2000-06-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1279-85 Citation Subset: AIM; IM |
Affiliation:
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Department of Thoracic Surgery, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Algorithms Chest Tubes Child Drainage Female Humans Male Middle Aged Pneumothorax / diagnosis, etiology, surgery* Recurrence Reoperation Retrospective Studies Thoracoscopy Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Chest. 2001 Apr;119(4):1292-3
[PMID:
11296211
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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