Prise en charge du pneumothorax spontané du sujet jeune
| Autor: | Y. Loubières, J.M. Schmitt, Q. Do Dang, C. Donzel-Raynaud, Antoine Vieillard-Baron, François Jardin, B. Page |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Respiratory disease Critical Care and Intensive Care Medicine medicine.disease Surgery Endoscopy Chest tube Catheter Pneumothorax Effusion Video-assisted thoracoscopic surgery Thoracoscopy medicine business |
| Zdroj: | Réanimation Urgences. 8:645-649 |
| ISSN: | 1164-6756 |
| DOI: | 10.1016/s1164-6756(00)87577-5 |
| Popis: | Summary Introduction Idiopathic spontaneous pneumothorax is a frequent disorder with a poorly codified treatment. Methods We retrospectively studied 48 patients with an idiopathic pneumothorax hospitalized between 1993 and 1997, and we discuss the location and time of surgical treatment. We compare the outcome of patients treated by chest tube (24 F), and by small caliber catheter (8 F). Results One patient was treated by needle aspiration, five patients were just observed and three underwent surgery. Fifteen patients were treated by chest tube and 24 by small catheter. The duration of hospitalization of the 26 successfully drained patients was 3.1 ± 2 days. The recurrence rate of these patients was 31% after a 27 ± 17 month follow-up. The failure rate was 33% at 3.7 ± 2 days of hospitalization regardless of the drainage method, leading to surgical treatment. The hospital stay of surgically treated patients was 15.8 ± 5 days. None of the 20 patients treated by video-assisted thoracoscopic surgery re lapsed after a 26 ± 17 month period. Conclusion Taking into account a recurrence rate of 30% and a surgical success rate of 95%, we propose an early surgical treatment in case of drainage failure, performed on the third day. This attitude shortens the hospital stay of successfully drained patients to 3.1 ± 2 days. Moreover, small caliber catheter drainage seems to be as efficient as chest tubes to treat spontaneous pneumothorax. |
| Databáze: | OpenAIRE |
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