A légmell kezelése cystás fibrosisban

Translated title of the contribution: Treatment of pneumothorax in cystic fibrosis

E. Csiszér, A. Csekeo

Research output: Contribution to journalArticle

Abstract

INTRODUCTION - More and more children affected by cystic fibrosis reach adulthood. The frequency of complications, such as pneumothorax, increases parallel with the long disease course. PATIENTS AND METHODS - The treatment of 17 manifestations of pneumothorax in 10 young adult cystic fibrosis patients in our institute was analysed retrospectively. RESULTS - Depending on the extension of pneumothorax and the clinical state of the patients the first choice of the treatment was observation alone in 6 cases, insertion of pleuracan in 3 cases and tube thoracostomy in 8 cases. Due to ineffective suction, thoracotomy was necessary in 6 patients, bilaterally in 3 cases. CONCLUSION - The outcome of conservative treatment even in "small, circumscribed pneumothorax" cases of symptom-free patients is uncertain and risky. Insertion of a pleuracan is recommended only in urgent, life-threatening cases, but definitive result should not be expected. If possible, chest drainage should be chosen as the first procedure. After 5-7 days of ineffective chest suction, thoracotomy is mandatory. Recurrence of the pneumothorax is direct indication for surgery. Antibiotic treatment is suggested for the duration of drainage, as well as for the surgical procedure.

Original languageHungarian
Pages (from-to)214-218
Number of pages5
JournalLege Artis Medicinae
Volume11
Issue number3
Publication statusPublished - 2001

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Pneumothorax
Cystic Fibrosis
Suction
Thoracotomy
Drainage
Thorax
Thoracostomy
Therapeutics
Young Adult
Observation
Anti-Bacterial Agents
Recurrence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A légmell kezelése cystás fibrosisban. / Csiszér, E.; Csekeo, A.

In: Lege Artis Medicinae, Vol. 11, No. 3, 2001, p. 214-218.

Research output: Contribution to journalArticle

Csiszér, E & Csekeo, A 2001, 'A légmell kezelése cystás fibrosisban', Lege Artis Medicinae, vol. 11, no. 3, pp. 214-218.
Csiszér, E. ; Csekeo, A. / A légmell kezelése cystás fibrosisban. In: Lege Artis Medicinae. 2001 ; Vol. 11, No. 3. pp. 214-218.
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AB - INTRODUCTION - More and more children affected by cystic fibrosis reach adulthood. The frequency of complications, such as pneumothorax, increases parallel with the long disease course. PATIENTS AND METHODS - The treatment of 17 manifestations of pneumothorax in 10 young adult cystic fibrosis patients in our institute was analysed retrospectively. RESULTS - Depending on the extension of pneumothorax and the clinical state of the patients the first choice of the treatment was observation alone in 6 cases, insertion of pleuracan in 3 cases and tube thoracostomy in 8 cases. Due to ineffective suction, thoracotomy was necessary in 6 patients, bilaterally in 3 cases. CONCLUSION - The outcome of conservative treatment even in "small, circumscribed pneumothorax" cases of symptom-free patients is uncertain and risky. Insertion of a pleuracan is recommended only in urgent, life-threatening cases, but definitive result should not be expected. If possible, chest drainage should be chosen as the first procedure. After 5-7 days of ineffective chest suction, thoracotomy is mandatory. Recurrence of the pneumothorax is direct indication for surgery. Antibiotic treatment is suggested for the duration of drainage, as well as for the surgical procedure.

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