title: [Etiology and therapy of spontaneous pneumothorax. Discussion of conservative or surgical procedure based on personal results].
abstract: The treatment of spontaneous pneumothorax is discussed on the basis of the experience we have gained in 78 patients. Therapy is determined by the pathophysiology and aetiology of the condition. The treatment and follow-up results are compared with those reported in the literature, and the rationale of our own procedure is explained. It is emphasized that surgical treatment that takes account of the aetiology, produces good results with respect to freedom from recurrence and pulmonary function. Particular attention is drawn to the higher mortality rate of pneumothorax in the aged when surgical treatment is required, so that in these patients, it is justified to proceed as conservatively as possible, making use of the less aggressive procedures indicated here.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis; D008173:Lung Diseases, Obstructive / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D011859:Radiography; D012008:Recurrence
vernacular_title: Atiologie und Therapie des Spontanpneumothorax. Diskussion des konservativen oder chirurgischen Vorgehens anhand eigener Ergebnisse.