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Vol. 30. Issue 4.
Pages 185-187 (April 1994)
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Vol. 30. Issue 4.
Pages 185-187 (April 1994)
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Tratamiento del neumotórax con drenaje fino sin sello de agua
Treatment of pneumothorax with small caliber chest tubes with no water seal
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G. Varela*, A. Arroyo, E. Larrú, V. Díaz-Hellín, P. Gámez
Servicio de Cirugía Torácica. Hospital Universitario 12 de Octubre. Madrid
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Los autores presentan su experiencia en el tratamiento de 72 casos de neumotórax con un drenaje de 2,2 mm de diámetro interno y válvula de Heimlich. En el 93% de los casos se consiguió la expansión pulmonar completa con este método. La estancia media de todos los casos fue de 4,05 días (mínima, 1; máxima, 20 días; DE, 3,4). En 7 casos de 65 dados de alta y seguidos ambulatoriamente (10,7%) se ha observado recidiva del neumotórax. Por los resultados expuestos, se concluye que el sistema utilizado es válido para el tratamiento del neumotórax y no se necesitan drenajes gruesos ni sello de agua en la mayoría de los casos.

The authors describe their experience in treating 72 patients with pneumothorax by placement of a drainage tube of 2.2 mm internal diameter equipped with a Heimlich valve. Full lung expansion was achieved with this method in 93% of the cases. Mean hospital stay was 4.05 days (Sx = 3.4, minimum 1, maximum 20). In 7 (10.7%) cases out of 64 who were discharged and followed as outpatients, there was reoccurrence of pneumothorax. With these results the authors conclude that the system used is valid for treating pneumothorax and that large drains and water seals are not necessary in most cases.

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Copyright © 1994. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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