2015, Number 617
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Rev Med Cos Cen 2015; 72 (617)
Neumotórax espontáneo
Valle SJC
Language: Spanish
References: 16
Page: 723-727
PDF size: 183.21 Kb.
ABSTRACT
Spontaneous Pneumothorax is divided into primary and secondary, the latter have an underlying lung disease. The primary type is related to the risk factors of an individual without lung disease, while the secondary is because the underlying lung disease. The clinical symptoms are suggestive of the disease so they should be suspected and performed imaging tests to confirm it. The X-ray is useful, by observing the radiopaque line at the level of visceral pleura separated from the parietal pleura. Early and adequate treatment allows the resolution of the disease, but you should take into account the high recurrence presented. Preventive treatment must be carried out according to the recurrences or increased risk of presenting them.
REFERENCES
Barker A, Maratos EC, Edmonds L, Lim E. Recurrence rates of video-assisted thoracoscopic versus open surgery in the prevention of recurrent pneumothoraces: a systematic review of randomised and non-randomised trials. Lancet 2007; 370:329.
Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001; 119:590.
Bintcliffe OJ, Hallifax RJ, Edey A, et al. Spontaneous pneumothorax: time to rethink management? Lancet Respir Med. 2015;3:(7)578-88.
Brims FJ, Maskell NA. Ambulatory treatment in the management of pneumothorax: a systematic review of the literature. Thorax. 2013;68:(7)664-9.
Chambers A, Routledge T, Billè A, Scarci M. Is blood pleurodesis effective for determining the cessation of persistent air leak? Interact Cardiovasc Thorac Surg 2010; 11:468.
Chen JS, Tsai KT, Hsu HH, et al. Intrapleural minocycline following simple aspiration for initial treatment of primary spontaneous pneumothorax. Respir Med 2008; 102:1004.
Chen CH, Liao WC, Liu YH, et al. Secondary spontaneous pneumothorax: which associated conditions benefit from pigtail catheter treatment? Am J Emerg Med 2012; 30:45.
Cheng YL, Huang TW, Lin CK, et al. The impact of smoking in primary spontaneous pneumothorax. J Thorac Cardiovasc Surg 2009; 138:192.
How CH, Hsu HH, Chen JS. Chemical pleurodesis for spontaneous pneumothorax. J Formos Med Assoc. 2013;112:(12)749-55.
Light RW. Pleural controversy: optimal chest tube size for drainage. Respirology 2011; 16:244.
Li Z, Huang H, Li Q, et al. Pneumothorax: observation. J Thorac Dis. 2014;6:(Suppl 4)S421-6.
Lin YC, Tu CY, Liang SJ, et al. Pigtail catheter for the management of pneumothorax in mechanically ventilated patients. Am J Emerg Med 2010; 28:466.
MacDuff A, Arnold A, Harvey J, BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65 Suppl 2:ii18.
Noppen M, De Keukeleire T. Pneumothorax. Respiration 2008; 76:121.
O’Driscoll BR, Howard LS, Davison AG, British Thoracic Society. BTS guideline for emergency oxygen use in adult patients. Thorax 2008; 63 Suppl 6:vi1.
Papagiannis A, Lazaridis G, Zarogoulidis K, et al. Pneumothorax: an up to date “introduction”. Ann Transl Med. 2015;3:(4)53.