[Spontaneous pneumothorax as an urgent internal problem].
92 cases of pneumothorax of the clinic for lung diseases Lostau and 35 cases from 9 county hospitals of the district Magdeburg were analysed. In the two groups a vast correspondence of the following data was found: average age of the patients (40.0 or 46.2 years), duration of stay in the ward (25.3/23.5 days), as urgent cases 11 or 8 patients, respectively, were hospitalised. Only in 5% of all cases a treatment on the conditions of an intensive therapy unit was necessary. Apart from the clinical and radiological basal diagnostics a measurement of the interpleural pressure by means of the pneumothorax apparatus is demanded. These values form the basis for a differentiated therapy of the pneumothorax: conservative attitude with sedation of cough of the patient in minimal pneumothoraces; withdrawal by means of the pneumothorax apparatus in more severe lung collapse, appearances of tension, lacking tendency to re-expansion of the lung after 3 days' conservative-medicamentous therapy; rubber-tube drainage when the withdrawal by means of the pneumothorax apparatus was ineffective for three times; surgical therapy when a 7 to 10 days' rubber-tube drainage was without success.
D003371:Cough / Q000188:drug therapy / Q000209:etiology; D004322:Drainage; D004630:Emergencies; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007362:Intensive Care Units; D011030:Pneumothorax / Q000150:complications / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology; D013997:Time Factors
D006993:Hypnotics and Sedatives
Der Spontanpneumothorax als dringliches internistisches Problem