Selection of Treatments and Progress of Pneumothorax and Pulmonary Air Leak after Operation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIEShou-zhi ,  CHENMing-jiu

Department of Cardiothoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha 410000, Hunan, P. R. China;

Corresponding?author：

CHENMing-jiu, Email: 2669205606@qq.com

Keywords：

Pneumothorax; Air leak; Treatmen

DOI：

10.7507/1007-4848.20150151

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Pneumothorax and pulmonary air leakage are common emergency and complication in department of thoracic surgery. The treatment measures of air leakage include conservative observation, needle aspiration, chest tube drainage, surgical operation, and pleurodesis. In selection of treatment methods, there is no unified and feasible standard to choose a reasonable, effective and economic therapeutic regimen. Inapposite treatment will prolong hospitalization days, increase cost, even may lead to death. Therefore, sorting out and summarizing the therapies is vitally important for clinical conduction. We retrieved about 80 reports in PubMed, Sciencedirect, and CNKI while we searched "pneumothorax" or "lung air leakage" and "treatment" as key words or title in recent ten years. We review and summarize the selection and development of them.

Citation： XIEShou-zhi, CHENMing-jiu. Selection of Treatments and Progress of Pneumothorax and Pulmonary Air Leak after Operation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(6): 602-606. doi: 10.7507/1007-4848.20150151 Copy

1.	?Gupta D, Hansell A, Nichols T, et al. Epidemiology of pneumothorax in England. Thorax, 2000, 55(8): 666-671.
2.	Zeybek A, Kalemci S, Gurunlu AO, et al. The effect of additional pleural procedures onto recurrence rates on the spontaneous pneumo-thorax surgery. Iran Red Crescent Med J, 2013, 15(2): 136-141.
3.	Brunelli A, Monteverde M, Borri A, et al. Predictors of prolonged air leak after pulmonary lobectomy. Ann Thorac Surg, 2004, 77(4): 1205-1210.
4.	曾丹, 田荊芳. 自發性氣胸344例臨床分析. 臨床肺科雜志, 2009, 14(5): 599-600.
5.	Rivas De Andrés JJ, Jiménez López MF, Molins López-Rodó L, et al. Guidelines for the diagnosis and treatment of spontaneous pneumothorax. Arch Bronconeumol, 2008, 44(8): 437-448.
6.	Zehtabchi S, Rios CL. Management of emergency department patients with primary spontaneous pneumothorax: needle aspiration or tube thoracostomy? An Emerg Med, 2008, 51(1): 91-100.
7.	Chang SJ, Ross SW, Kiefer DJ, et al. Evaluation of 8.0-cm needle at the fourth anterior axillary line for needle chest decompression of tension pneumothorax. J Trauma Acute Care Surg, 2014, 76(4): 1029-1034.
8.	Hatch Q, Debarros M, Johnson E, et al. Standard laparoscopic trocars for the treatment of tension pneumothorax: a superior alternative to needle decompression. J Trauma Acute Care Surg, 2014, 77(1): 170-175.
9.	源剛暉, 馮建航, 吳以藝, 等. 醫源性氣胸52例臨床分析. 嶺南急診醫學雜志, 2007, (4): 301-302.
10.	唐志英. 一次性中心靜脈導管胸腔閉式引流治療自發性氣胸分析. 中國藥物經濟學, 2012, (3): 257-258.
11.	羅悅. 靜脈留置針穿刺胸腔閉式引流術治療新生兒氣胸14例報道. 中國醫藥指南?, 2013, (20): 522.
12.	Chen C, Liao W, Liu Y, et al. Secondary spontaneous pneumothorax: which associated conditions benefit from pigtail catheter treatment? Am J Emerg Med, 2012, 30(1): 45-50.
13.	周軼. 新生兒氣胸的病因分析及救治措施的臨床研究. 中國社區醫師(醫學專業), 2013, 7: 81.
14.	許文景, 黃冬云, 朱慕云, 等. 細管胸腔閉式引流治療氣胸的臨床觀察. 臨床肺科雜志, 2010, 15(5): 634-635.
15.	韓慧云, 王新房. 微創胸腔閉式引流及胸腔內注入粘連劑治療自發性氣胸的臨床對比分析. 中國臨床研究, 2010, 1(1): 77-78.
16.	張培榮, 張勇, 劉立群, 等. 復治、難治性自發性氣胸的外科治療. 濰坊醫學院學報, 2007, 29(6): 563.
17.	Nwaejike N, Elbur E, Rammohan K S, et al. Should pregnant patients with a recurrent or persistent pneumothorax undergo surgery? Interact Cardiovasc Thorac Surg, 2013, 17(6): 988-990.
18.	周嘉, 陳長志, 陳彤宇, 等. 重度肺氣腫合并難治性氣胸的外科治療. 中國胸心血管外科臨床雜志, 2004, 11(4): 304-305.
19.	王建利, 王玨, 陳武, 等. 腋下小切口與電視胸腔鏡手術治療自發性氣胸56例. 現代中西醫結合雜志, 2008, (19): 2995-2996.
20.	楊富濤. 開胸手術和電視胸腔鏡手術治療自發性氣胸的應用范圍及療效比較研究. 中國醫藥指南, 2013, 11(2): 246-247.
21.	Morimoto T, Shimbo T, Noguchi Y, et al. Effects of timing of thora-coscopic surgery for primary spontaneous pneumothorax on prog-nosis and costs. Am J Surg, 2004, 187(6): 767-774.
22.	葉書高, 何毅軍, 陳若, 等. VAMT在自發性氣胸治療中的應用價值分析. 醫學研究雜志, 2007, 36(4): 110-111.
23.	Ardo NP, Loizzi D, De Palma A, et al. Comparison of two surgical approaches for the treatment of primary spontaneous pneumothorax. G Chir, 2014, 35(5-6): 122-125.
24.	孫順興, 崔超, 李強. 重癥自發性氣胸的外科治療(附48例報道). 中國內鏡雜志, 2008, 14(6): 589-591.
25.	Andreetti C, D’Andrilli A, Ciccone AM, et al. Thoracoscopic water pleurectomy for the treatment of recurrent spontaneous pneumo-thorax. Ann Thorac Surg, 2014, 97(3): 1088-1090.
26.	Amin R, Noone PG, Ratjen F. Chemical pleurodesis versus surgical intervention for persistent and recurrent pneumothoraces in cystic fibrosis. Cochrane Database Syst Rev, 2012, 12: D7481.
27.	Muramatsu T, Shimamura M, Furuichi M, et al. Cause and manage-ment of recurrent primary spontaneous pneumothorax after thora-coscopic stapler blebectomy. Asian J Surg, 2011, 34(2): 69-73.
28.	Lee S, Park SY, Bae MK, et al. Efficacy of polyglycolic acid sheet after thoracoscopic bullectomy for spontaneous pneumothorax. Ann Thorac Surg, 2013, 95(6): 1919-1923.
29.	Uramoto H, Tanaka F. What is an appropriate material to use with a covering technique to prevent the recurrence of spontaneous pneumothorax? J Cardiothorac Surg, 2014, 9(1): 74.
30.	王毅. 閉式引流管重復注入高滲葡萄糖行胸膜粘連術治療自發性氣胸. 中國校醫, 2006, 20(1): 76-77.
31.	陸光兵, 方華. 高滲葡萄糖胸膜粘連術治療復雜性自發性氣胸. 西南軍醫, 2010, 12(2): 283-284.
32.	李鷹, 鐘玲, 戴希友, 等. 用紅霉素治療復發性氣胸的體會. 江西醫藥, 2005, 40(2): 86-87.
33.	謝建峰, 曾昭武, 唐箭. 滑石粉懸濁液胸腔灌洗術治療自發性氣胸50例療效觀察. 中國現代醫學雜志, 2008, 18(12): 1730-1731.
34.	王曉穎, 王厚池, 馬明輝. 1‰硝酸銀液胸膜粘連治療自發性氣胸30例報告. 中國廠礦醫學, 2006, 19(3): 217-218.
35.	羅賢林. 胸腔閉式引流術加外用凝血酶治療氣胸190例臨床體會. 中國醫學工程, 2013, 12(2): 164.
36.	Robinson CL. Autologous blood for pleurodesis in recurrent and chronic spontaneous pneumothorax. Can J Surg, 1987, 30(6): 428-429.
37.	Athanassiadi K, Bagaev E, Haverich A. Autologous blood pleuro-desis for persistent air leak. Thorac Cardiovasc Surg, 2009, 57(8): 476-479.
38.	Ozpolat B. Autologous blood patch pleurodesis in the management of prolonged air leak. Thorac Cardiovasc Surg, 2010, 58(1): 52-54.
39.	How C, Tsai T, Kuo S, et al. Chemical pleurodesis for prolonged postoperative air leak in primary spontaneous pneumothorax. J Formos Med Assoc, 2014, 113(5): 284-290.
40.	劉琳, 王巍, 王仲元, 等. 鴉膽子油乳劑輔助治療結核性液氣胸療效研究. 傳染病信息, 2009, 22(5): 311-313.

1. ?Gupta D, Hansell A, Nichols T, et al. Epidemiology of pneumothorax in England. Thorax, 2000, 55(8): 666-671.
2. Zeybek A, Kalemci S, Gurunlu AO, et al. The effect of additional pleural procedures onto recurrence rates on the spontaneous pneumo-thorax surgery. Iran Red Crescent Med J, 2013, 15(2): 136-141.
3. Brunelli A, Monteverde M, Borri A, et al. Predictors of prolonged air leak after pulmonary lobectomy. Ann Thorac Surg, 2004, 77(4): 1205-1210.
4. 曾丹, 田荊芳. 自發性氣胸344例臨床分析. 臨床肺科雜志, 2009, 14(5): 599-600.
5. Rivas De Andrés JJ, Jiménez López MF, Molins López-Rodó L, et al. Guidelines for the diagnosis and treatment of spontaneous pneumothorax. Arch Bronconeumol, 2008, 44(8): 437-448.
6. Zehtabchi S, Rios CL. Management of emergency department patients with primary spontaneous pneumothorax: needle aspiration or tube thoracostomy? An Emerg Med, 2008, 51(1): 91-100.
7. Chang SJ, Ross SW, Kiefer DJ, et al. Evaluation of 8.0-cm needle at the fourth anterior axillary line for needle chest decompression of tension pneumothorax. J Trauma Acute Care Surg, 2014, 76(4): 1029-1034.
8. Hatch Q, Debarros M, Johnson E, et al. Standard laparoscopic trocars for the treatment of tension pneumothorax: a superior alternative to needle decompression. J Trauma Acute Care Surg, 2014, 77(1): 170-175.
9. 源剛暉, 馮建航, 吳以藝, 等. 醫源性氣胸52例臨床分析. 嶺南急診醫學雜志, 2007, (4): 301-302.
10. 唐志英. 一次性中心靜脈導管胸腔閉式引流治療自發性氣胸分析. 中國藥物經濟學, 2012, (3): 257-258.
11. 羅悅. 靜脈留置針穿刺胸腔閉式引流術治療新生兒氣胸14例報道. 中國醫藥指南?, 2013, (20): 522.
12. Chen C, Liao W, Liu Y, et al. Secondary spontaneous pneumothorax: which associated conditions benefit from pigtail catheter treatment? Am J Emerg Med, 2012, 30(1): 45-50.
13. 周軼. 新生兒氣胸的病因分析及救治措施的臨床研究. 中國社區醫師(醫學專業), 2013, 7: 81.
14. 許文景, 黃冬云, 朱慕云, 等. 細管胸腔閉式引流治療氣胸的臨床觀察. 臨床肺科雜志, 2010, 15(5): 634-635.
15. 韓慧云, 王新房. 微創胸腔閉式引流及胸腔內注入粘連劑治療自發性氣胸的臨床對比分析. 中國臨床研究, 2010, 1(1): 77-78.
16. 張培榮, 張勇, 劉立群, 等. 復治、難治性自發性氣胸的外科治療. 濰坊醫學院學報, 2007, 29(6): 563.
17. Nwaejike N, Elbur E, Rammohan K S, et al. Should pregnant patients with a recurrent or persistent pneumothorax undergo surgery? Interact Cardiovasc Thorac Surg, 2013, 17(6): 988-990.
18. 周嘉, 陳長志, 陳彤宇, 等. 重度肺氣腫合并難治性氣胸的外科治療. 中國胸心血管外科臨床雜志, 2004, 11(4): 304-305.
19. 王建利, 王玨, 陳武, 等. 腋下小切口與電視胸腔鏡手術治療自發性氣胸56例. 現代中西醫結合雜志, 2008, (19): 2995-2996.
20. 楊富濤. 開胸手術和電視胸腔鏡手術治療自發性氣胸的應用范圍及療效比較研究. 中國醫藥指南, 2013, 11(2): 246-247.
21. Morimoto T, Shimbo T, Noguchi Y, et al. Effects of timing of thora-coscopic surgery for primary spontaneous pneumothorax on prog-nosis and costs. Am J Surg, 2004, 187(6): 767-774.
22. 葉書高, 何毅軍, 陳若, 等. VAMT在自發性氣胸治療中的應用價值分析. 醫學研究雜志, 2007, 36(4): 110-111.
23. Ardo NP, Loizzi D, De Palma A, et al. Comparison of two surgical approaches for the treatment of primary spontaneous pneumothorax. G Chir, 2014, 35(5-6): 122-125.
24. 孫順興, 崔超, 李強. 重癥自發性氣胸的外科治療(附48例報道). 中國內鏡雜志, 2008, 14(6): 589-591.
25. Andreetti C, D’Andrilli A, Ciccone AM, et al. Thoracoscopic water pleurectomy for the treatment of recurrent spontaneous pneumo-thorax. Ann Thorac Surg, 2014, 97(3): 1088-1090.
26. Amin R, Noone PG, Ratjen F. Chemical pleurodesis versus surgical intervention for persistent and recurrent pneumothoraces in cystic fibrosis. Cochrane Database Syst Rev, 2012, 12: D7481.
27. Muramatsu T, Shimamura M, Furuichi M, et al. Cause and manage-ment of recurrent primary spontaneous pneumothorax after thora-coscopic stapler blebectomy. Asian J Surg, 2011, 34(2): 69-73.
28. Lee S, Park SY, Bae MK, et al. Efficacy of polyglycolic acid sheet after thoracoscopic bullectomy for spontaneous pneumothorax. Ann Thorac Surg, 2013, 95(6): 1919-1923.
29. Uramoto H, Tanaka F. What is an appropriate material to use with a covering technique to prevent the recurrence of spontaneous pneumothorax? J Cardiothorac Surg, 2014, 9(1): 74.
30. 王毅. 閉式引流管重復注入高滲葡萄糖行胸膜粘連術治療自發性氣胸. 中國校醫, 2006, 20(1): 76-77.
31. 陸光兵, 方華. 高滲葡萄糖胸膜粘連術治療復雜性自發性氣胸. 西南軍醫, 2010, 12(2): 283-284.
32. 李鷹, 鐘玲, 戴希友, 等. 用紅霉素治療復發性氣胸的體會. 江西醫藥, 2005, 40(2): 86-87.
33. 謝建峰, 曾昭武, 唐箭. 滑石粉懸濁液胸腔灌洗術治療自發性氣胸50例療效觀察. 中國現代醫學雜志, 2008, 18(12): 1730-1731.
34. 王曉穎, 王厚池, 馬明輝. 1‰硝酸銀液胸膜粘連治療自發性氣胸30例報告. 中國廠礦醫學, 2006, 19(3): 217-218.
35. 羅賢林. 胸腔閉式引流術加外用凝血酶治療氣胸190例臨床體會. 中國醫學工程, 2013, 12(2): 164.
36. Robinson CL. Autologous blood for pleurodesis in recurrent and chronic spontaneous pneumothorax. Can J Surg, 1987, 30(6): 428-429.
37. Athanassiadi K, Bagaev E, Haverich A. Autologous blood pleuro-desis for persistent air leak. Thorac Cardiovasc Surg, 2009, 57(8): 476-479.
38. Ozpolat B. Autologous blood patch pleurodesis in the management of prolonged air leak. Thorac Cardiovasc Surg, 2010, 58(1): 52-54.
39. How C, Tsai T, Kuo S, et al. Chemical pleurodesis for prolonged postoperative air leak in primary spontaneous pneumothorax. J Formos Med Assoc, 2014, 113(5): 284-290.
40. 劉琳, 王巍, 王仲元, 等. 鴉膽子油乳劑輔助治療結核性液氣胸療效研究. 傳染病信息, 2009, 22(5): 311-313.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Selection of Treatments and Progress of Pneumothorax and Pulmonary Air Leak after Operation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content