º»¹®/³»¿ë
3) PNX (> 50% of hemithorax)
Chest tube connected to a water seal
2-4Àϰ£ À¯Ä¡ ÈÄ lungÀÌ ¿ÏÀüÈ÷ reexpandµÇ¸é 24½Ã°£ clampÇϰí recurrence°¡ ¾øÀ¸¸é removeÇÑ´Ù.
4) Recurrent primary spontaneous PNX
¡¤ pleurodesis (tetracycline): ÀþÀº »ç¶÷Àº °¡´ÉÇÑ ÇÑ pleurodesis½ÃÇà ¾È ÇÔ
¡¤ open thoracotomy (surgical obliteration)
tube drainageÈÄ 5-6Àϰ£ air leak°¡ °è¼ÓÇϰųª Chemical pleurodesis ÈÄ¿¡µµ °è¼ÓµÇ¸é ½ÃÇà
5) Tension PNX
intercostal space¸¦ ÅëÇØ large-bore needleÀ» involved side¿¡ insesrtionÇÏ¿© immediately·Î decompression ÇØÁØ´Ù.
(ºÎÀ§: ÁÖ·Î 2nd interspaceÀÇ mid-clavicular line¿¡ needleÀ» insertionÇÑ´Ù)
2. Secondary or Complicated Pneumothorax
¿øÀÎ
1. Trauma or iatrogenic
2. COPD, emphysema - most common
Bronchial asthma
Staphylococcal pneumatoceles
Idiopathic pulmonary fibrosis, eosinophilic granuloma, sarcoidosis
Tuberculosi¡¦(»ý·«)
Âü°í¹®Çå
1. Harrison`s Principles of Internal Medicine 13th eds p1229-1234
2. Cecil. Textbook of Medicine 19th eds p.443-452
3. Murray Textbook of Respiratory Medicine 2nd eds p2145-2290
4. Fishman. Pulmonary Disease and Disorders 2nd eds