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首页> 外文期刊>Hong Kong Journal of Paediatrics >Adolescent Primary Spontaneous Pneumothorax: A Hospital's Experience
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Adolescent Primary Spontaneous Pneumothorax: A Hospital's Experience

机译：青少年原发性自发性气胸：医院的经验。

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Objective: To study the demographic and clinical characteristics of adolescent primary spontaneous pneumothorax (PSP). Methods: Adolescent patients (age 10-18 years) with first presentation of PSP were recruited in this retrospective cohort study. Four categories of data, including demography, clinical symptoms at presentation, disease progress and recurrence were retrieved from the hospital records. Results: Ninety episodes of PSP in 63 patients (55 males and 8 females) were identified. The mean (SD) height, weight and body mass index percentiles were 60.2% (27.9%), 35.0% (21.1%) and 29.9% (21.8%) respectively. The commonest symptoms at presentation were chest pain or discomfort (90.5%) and shortness of breath (42.9%); none of them had cardiopulmonary compromise. Nineteen patients were treated conservatively whereas 29 and 15 patients were treated by tube thoracostomy and surgery respectively. There were totally 22 (34.9%) patients who suffered from recurrence, and the recurrence rates for the conservative, tube thoracostomy and surgery treatment groups were 26.3% (5/19), 52.7% (15/29) and 13.3% (2/15) respectively. Fifteen (68%) of the 22 recurrences occurred within 3 months after the first presentation. Conclusion: Adolescent PSP occurs mainly in tall thin boys of late teenage group and all of them are clinically stable. Conservative treatment can be considered for small PSP of size less than 30%. Tube thoracostomy should be considered in large PSP or failed conservative treatment. For patients treated with tube thoracostomy, persistent leakage (longer than 7 days) warrants surgical treatment.
机译：目的：研究青少年原发性自发性气胸（PSP）的人口统计学和临床​​特征。方法：这项回顾性队列研究纳入了首次出现PSP的青少年患者（年龄10-18岁）。从医院记录中检索出四类数据，包括人口统计学，临床表现，疾病进展和复发。结果：鉴定出63例患者中有90例PSP发作（男55例，女8例）。平均身高，体重和体重指数百分位数分别为60.2％（27.9％），35.0％（21.1％）和29.9％（21.8％）。表现最常见的症状是胸痛或不适（90.5％）和呼吸急促（42.9％）;他们都没有心肺功能损害。保守治疗19例，而胸腔穿刺术和手术分别治疗29例和15例。共有22例（34.9％）复发患者，保守，管腔胸腔切开术和手术治疗组的复发率分别为26.3％（5/19），52.7％（15/29）和13.3％（2 / 15）。 22例复发病例中有15例（68％）在首次出现后3个月内发生。结论：青春期PSP主要发生在十几岁后期的高个子瘦男孩中，并且在临床上都稳定。对于尺寸小于30％的小PSP，可以考虑采用保守治疗。大型PSP或保守治疗失败者应考虑行胸腔穿刺术。对于经导管胸腔切开术治疗的患者，持续渗漏（超过7天）需要进行手术治疗。

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