Surgical Management of Spontaneous Pneumothorax in Patients with Acquired Immunodeficiency Syndrome

作者: Arlen G. Fleisher , Gerry McElvaney , Lindsay Lawson , Alfred N. Gerein , Dennis Grant

DOI: 10.1016/S0003-4975(10)62388-0

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摘要: Spontaneous pneumothorax has been reported with increasing frequency in patients acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia. In the past year, we treated 4 spontaneous pneumothorax. All of them were closed tube thoracostomy, 1 patient bilateral apical cysts eventually required thoracotomies pleurectomies. Only had an uncomplicated hospital course. The remaining prolonged air leaks, 2 synchronous pneumothoraces. Pneumothorax appears to be associated P. We recommend thoracostomy as initial treatment symptomatic patients. Pleurectomy for leaks persisting longer than seven days can safely performed fit thoractomy.

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