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：

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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, 田荆芳. 自发性气胸344例临床分析. 临床肺科杂志, 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.	源刚晖, 冯建航, 吴以艺, 等. 医源性气胸52例临床分析. 岭南急诊医学杂志, 2007, (4): 301-302.
10.	唐志英. 一次性中心静脉导管胸腔闭式引流治疗自发性气胸分析. 中国药物经济学, 2012, (3): 257-258.
11.	罗悦. 静脉留置针穿刺胸腔闭式引流术治疗新生儿气胸14例报道. 中国医药指南 , 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.	周轶. 新生儿气胸的病因分析及救治措施的临床研究. 中国社区医师(医学专业), 2013, 7: 81.
14.	许文景, 黄冬云, 朱慕云, 等. 细管胸腔闭式引流治疗气胸的临床观察. 临床肺科杂志, 2010, 15(5): 634-635.
15.	韩慧云, 王新房. 微创胸腔闭式引流及胸腔内注入粘连剂治疗自发性气胸的临床对比分析. 中国临床研究, 2010, 1(1): 77-78.
16.	张培荣, 张勇, 刘立群, 等. 复治、难治性自发性气胸的外科治疗. 潍坊医学院学报, 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, 陈长志, 陈彤宇, 等. 重度肺气肿合并难治性气胸的外科治疗. 中国胸心血管外科临床杂志, 2004, 11(4): 304-305.
19.	王建利, 王珏, 陈武, 等. 腋下小切口与电视胸腔镜手术治疗自发性气胸56例. 现代中西医结合杂志, 2008, (19): 2995-2996.
20.	杨富涛. 开胸手术和电视胸腔镜手术治疗自发性气胸的应用范围及疗效比较研究. 中国医药指南, 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.	叶书高, 何毅军, 陈若, 等. VAMT在自发性气胸治疗中的应用价值分析. 医学研究杂志, 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.	孙顺兴, 崔超, 李强. 重症自发性气胸的外科治疗(附48例报道). 中国内镜杂志, 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. 闭式引流管重复注入高渗葡萄糖行胸膜粘连术治疗自发性气胸. 中国校医, 2006, 20(1): 76-77.
31.	陆光兵, 方华. 高渗葡萄糖胸膜粘连术治疗复杂性自发性气胸. 西南军医, 2010, 12(2): 283-284.
32.	李鹰, 钟玲, 戴希友, 等. 用红霉素治疗复发性气胸的体会. 江西医药, 2005, 40(2): 86-87.
33.	谢建峰, 曾昭武, 唐箭. 滑石粉悬浊液胸腔灌洗术治疗自发性气胸50例疗效观察. 中国现代医学杂志, 2008, 18(12): 1730-1731.
34.	王晓颖, 王厚池, 马明辉. 1‰硝酸银液胸膜粘连治疗自发性气胸30例报告. 中国厂矿医学, 2006, 19(3): 217-218.
35.	罗贤林. 胸腔闭式引流术加外用凝血酶治疗气胸190例临床体会. 中国医学工程, 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.	刘琳, 王巍, 王仲元, 等. 鸦胆子油乳剂辅助治疗结核性液气胸疗效研究. 传染病信息, 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, 田荆芳. 自发性气胸344例临床分析. 临床肺科杂志, 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. 源刚晖, 冯建航, 吴以艺, 等. 医源性气胸52例临床分析. 岭南急诊医学杂志, 2007, (4): 301-302.
10. 唐志英. 一次性中心静脉导管胸腔闭式引流治疗自发性气胸分析. 中国药物经济学, 2012, (3): 257-258.
11. 罗悦. 静脉留置针穿刺胸腔闭式引流术治疗新生儿气胸14例报道. 中国医药指南 , 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. 周轶. 新生儿气胸的病因分析及救治措施的临床研究. 中国社区医师(医学专业), 2013, 7: 81.
14. 许文景, 黄冬云, 朱慕云, 等. 细管胸腔闭式引流治疗气胸的临床观察. 临床肺科杂志, 2010, 15(5): 634-635.
15. 韩慧云, 王新房. 微创胸腔闭式引流及胸腔内注入粘连剂治疗自发性气胸的临床对比分析. 中国临床研究, 2010, 1(1): 77-78.
16. 张培荣, 张勇, 刘立群, 等. 复治、难治性自发性气胸的外科治疗. 潍坊医学院学报, 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, 陈长志, 陈彤宇, 等. 重度肺气肿合并难治性气胸的外科治疗. 中国胸心血管外科临床杂志, 2004, 11(4): 304-305.
19. 王建利, 王珏, 陈武, 等. 腋下小切口与电视胸腔镜手术治疗自发性气胸56例. 现代中西医结合杂志, 2008, (19): 2995-2996.
20. 杨富涛. 开胸手术和电视胸腔镜手术治疗自发性气胸的应用范围及疗效比较研究. 中国医药指南, 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. 叶书高, 何毅军, 陈若, 等. VAMT在自发性气胸治疗中的应用价值分析. 医学研究杂志, 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. 孙顺兴, 崔超, 李强. 重症自发性气胸的外科治疗(附48例报道). 中国内镜杂志, 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. 闭式引流管重复注入高渗葡萄糖行胸膜粘连术治疗自发性气胸. 中国校医, 2006, 20(1): 76-77.
31. 陆光兵, 方华. 高渗葡萄糖胸膜粘连术治疗复杂性自发性气胸. 西南军医, 2010, 12(2): 283-284.
32. 李鹰, 钟玲, 戴希友, 等. 用红霉素治疗复发性气胸的体会. 江西医药, 2005, 40(2): 86-87.
33. 谢建峰, 曾昭武, 唐箭. 滑石粉悬浊液胸腔灌洗术治疗自发性气胸50例疗效观察. 中国现代医学杂志, 2008, 18(12): 1730-1731.
34. 王晓颖, 王厚池, 马明辉. 1‰硝酸银液胸膜粘连治疗自发性气胸30例报告. 中国厂矿医学, 2006, 19(3): 217-218.
35. 罗贤林. 胸腔闭式引流术加外用凝血酶治疗气胸190例临床体会. 中国医学工程, 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. 刘琳, 王巍, 王仲元, 等. 鸦胆子油乳剂辅助治疗结核性液气胸疗效研究. 传染病信息, 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

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