A légmell kezelése cystás fibrosisban

E. Csiszér, A. Csekeo

Research output: Article


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.

Translated title of the contributionTreatment of pneumothorax in cystic fibrosis
Original languageHungarian
Pages (from-to)214-218
Number of pages5
JournalLege Artis Medicinae
Issue number3
Publication statusPublished - máj. 24 2001


  • Cystic fibrosis
  • Pneumothorax
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

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