https://scholars.lib.ntu.edu.tw/handle/123456789/561871
標題: | The etiology and therapy of primary spontaneous pneumothoraces | 作者: | HSAO-HSUN HSU JIN-SHING CHEN |
公開日期: | 2015 | 出版社: | Taylor and Francis Ltd | 卷: | 9 | 期: | 5 | 起(迄)頁: | 655-665 | 來源出版物: | Expert Review of Respiratory Medicine | 摘要: | Primary spontaneous pneumothorax (PSP) remains a significant health problem in young adults. Subpleural blebs and bullae in the lung apices are likely to play important roles in pathogenesis. The optimal management of PSP has been a matter of debate and depends on the size of the pneumothorax, the symptoms and the time of occurrence. Observation or simple aspiration is used in the first episode, while surgery is recommended for recurrent or complicated pneumothorax. Recent advances in thoracoscopic surgery have provided a less invasive alternative in the surgical treatment of PSP, but there are concerns about higher recurrence rates than that following open thoracotomy. Studies have shown that the judicious use of chemical pleurodesis may decrease the rate of recurrence in surgical and nonsurgical patients. In this article, the etiology and pathophysiology of PSP are reviewed. The indications, safety and effects of currently available treatment modalities are also summarized. ? 2015 Informa UK Ltd. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940977252&doi=10.1586%2f17476348.2015.1083427&partnerID=40&md5=0093ba11fb0d6020737674e846e1d096 https://scholars.lib.ntu.edu.tw/handle/123456789/561871 |
ISSN: | 1747-6348 | DOI: | 10.1586/17476348.2015.1083427 | SDG/關鍵字: | minocycline; talc; tetracycline; abrasion; bullectomy; chest tube; conservative treatment; disease activity; disease classification; drain; fine needle aspiration biopsy; Heimlich chest drainage valve; human; pathogenesis; pathophysiology; patient safety; pleurectomy; pleurodesis; primary spontaneous pneumothorax; Review; spontaneous pneumothorax; suction; surgical technique; therapy effect; thoracotomy; thorax drainage; treatment indication; video assisted thoracoscopic surgery; pneumothorax; Humans; Pneumothorax |
顯示於: | 醫學系 |
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