pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2008-0-6-15-27pulmo-1866Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESДиагностика и лечение спонтанного пневмоторакса: клинические рекомендации Испанского общества пульмонологов и торакальных хирургов (SEPAR)Guidelines for the Diagnosis and Treatment of Spontaneous PneumothoraxРивас де АндресХ.Rivas de AndresJ.
Отделение торакальной хирургии больницы университета Miguel ServetSpainОтделение торакальной хирургии больницы университета СаламанкиSpainОтделение торакальной хирургии больницы университета Sagrat CorSpainОтделение пульмонологии клиники университета Lоzano BlesaSpainОтделение торакальной хирургии больницы университета Virgen de la ArrixacaSpain200828122008061527Copyright © Ривас де Андрес Х., Хименес Лопес М., Молинс Лопес-Родо Л., Перес Труллен А., Торрес Ланзас Х., 20082008Ривас де Андрес Х., Хименес Лопес М., Молинс Лопес-Родо Л., Перес Труллен А., Торрес Ланзас Х.Rivas de Andres J., Jimenez Lopez M., Molins Lopez-Rodo L., Perez Trullen A., Torres Lanzase J.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/1866
.
.
ReferencesGupta D., Hansell A., Nichols T. et al. Epidemiology of pneumothorax in England. Thorax 2000; 55: 666–671.Gupta D., Hansell A., Nichols T. et al. Epidemiology of pneumothorax in England. Thorax 2000; 55: 666–671.Henry A., Arnold T., Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003; 58 (suppl. 2): 39–52.Henry A., Arnold T., Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003; 58 (suppl. 2): 39–52.Melton L.J., Hepper N.G.G., Offord K.P. Incidence of spontaneous pneumothorax in Olmsted Country, Minnesota: 1950–1974. Am. Rev. Respir. Dis. 1979; 120: 1379–1382.Melton L.J., Hepper N.G.G., Offord K.P. Incidence of spontaneous pneumothorax in Olmsted Country, Minnesota: 1950–1974. Am. Rev. Respir. Dis. 1979; 120: 1379–1382.Bense L., Eklund G., Wiman L.G. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest 1987; 92: 1009–1012.Bense L., Eklund G., Wiman L.G. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest 1987; 92: 1009–1012.Schramel F.M., Postmus P.E., Vanderschueren R.G. Current aspects of spontaneous pneumothorax. Eur. Respir. J. 1997; 10: 1372–1379.Schramel F.M., Postmus P.E., Vanderschueren R.G. Current aspects of spontaneous pneumothorax. Eur. Respir. J. 1997; 10: 1372–1379.Lippert H.L., Lund O., Blegvad S., Larsen H.V. Independent risk factors for cumulative recurrence rate after first spontaneous pneumothorax. Eur. Respir. J. 1991; 4: 324–331.Lippert H.L., Lund O., Blegvad S., Larsen H.V. Independent risk factors for cumulative recurrence rate after first spontaneous pneumothorax. Eur. Respir. J. 1991; 4: 324–331.Videm V., Pillgram#Larsen J., Ellingsen O. et al. Spontaneous pneumothorax in chronic obstructive pulmonary disease: complications, treatment and recurrences. Eur. J. Respir. Dis. 1987; 71: 365–371.Videm V., Pillgram#Larsen J., Ellingsen O. et al. Spontaneous pneumothorax in chronic obstructive pulmonary disease: complications, treatment and recurrences. Eur. J. Respir. Dis. 1987; 71: 365–371.Baumann M.H. Management of spontaneous pneumothorax. Clin. Chest Med. 2006; 27: 369–381.Baumann M.H. Management of spontaneous pneumothorax. Clin. Chest Med. 2006; 27: 369–381.Sadikot R.T., Greene T., Meadows K., Arnold A.G. Recurrence of primary spontaneous pneumothorax. Thorax 1997; 52: 805–809.Sadikot R.T., Greene T., Meadows K., Arnold A.G. Recurrence of primary spontaneous pneumothorax. Thorax 1997; 52: 805–809.Voge V.M., Anthracile R. Spontaneous pneumothorax in the USAF aircrew population: a retrospective study. Aviat. Space Environ. Med. 1986; 57: 939–949.Voge V.M., Anthracile R. Spontaneous pneumothorax in the USAF aircrew population: a retrospective study. Aviat. Space Environ. Med. 1986; 57: 939–949.Sahn S.A., Heffner J.E. Spontaneous pneumothorax. N. Engl. J. Med. 2000; 342: 868–874.Sahn S.A., Heffner J.E. Spontaneous pneumothorax. N. Engl. J. Med. 2000; 342: 868–874.Light R.W. Management of spontaneous pneumothorax. Am. Rev. Respir. Dis. 1993; 148: 245–248.Light R.W. Management of spontaneous pneumothorax. Am. Rev. Respir. Dis. 1993; 148: 245–248.Cottin V., Streichenberger N., Gamondes J.P. et al. Respiratory bronchiolitis in smokers with spontaneous pneumothorax. Eur. Respir. J. 1998; 12: 702–704.Cottin V., Streichenberger N., Gamondes J.P. et al. Respiratory bronchiolitis in smokers with spontaneous pneumothorax. Eur. Respir. J. 1998; 12: 702–704.Smit H.J.M., Chatrou M., Postmus P.E. The impact of spontaneous pneumothorax and its treatment on the smoking behaviour of young adult smokers. Respir. Med. 1998; 92: 1132–1136.Smit H.J.M., Chatrou M., Postmus P.E. The impact of spontaneous pneumothorax and its treatment on the smoking behaviour of young adult smokers. Respir. Med. 1998; 92: 1132–1136.Smit H.J., Deville W.L., Schramel F.M. et al. Atmospheric pressure changes and outdoor temperature changes in relation to spontaneous pneumothorax. Chest 1999; 116: 676–681.Smit H.J., Deville W.L., Schramel F.M. et al. Atmospheric pressure changes and outdoor temperature changes in relation to spontaneous pneumothorax. Chest 1999; 116: 676–681.Noppen M., Verbanck S., Harvey J. et al. Music: a new cause of primary spontaneous pneumothorax. Thorax 2004; 59: 722–724.Noppen M., Verbanck S., Harvey J. et al. Music: a new cause of primary spontaneous pneumothorax. Thorax 2004; 59: 722–724.Baumann M.H. Do blebs cause primary spontaneous pneumothorax? Pro: Blebs do cause primary spontaneous pneumothorax. J. Bronchol. 2002; 9: 313–318.Baumann M.H. Do blebs cause primary spontaneous pneumothorax? Pro: Blebs do cause primary spontaneous pneumothorax. J. Bronchol. 2002; 9: 313–318.Noppen M. Do blebs cause primary spontaneous pneumothorax? Con: Blebs do not cause primary spontaneous pneumothorax. J. Bronchol. 2002; 9: 319–323.Noppen M. Do blebs cause primary spontaneous pneumothorax? Con: Blebs do not cause primary spontaneous pneumothorax. J. Bronchol. 2002; 9: 319–323.Bense L., Lewander R., Eklund G. et al. Nonsmoking, non alpha 1 antitrypsin deficiencyinduced emphysema in nonsmokers with healed spontaneous pneumothorax, identified by computed tomography of the lungs. Chest 1993; 103: 433–438.Bense L., Lewander R., Eklund G. et al. Nonsmoking, non alpha 1 antitrypsin deficiencyinduced emphysema in nonsmokers with healed spontaneous pneumothorax, identified by computed tomography of the lungs. Chest 1993; 103: 433–438.Tschopp J.M., Rami#Porta R., Noppen N., Astoul P. Management of spontaneous pneumothorax: state of the art. Eur. Respir. J. 2006; 28: 637–650.Tschopp J.M., Rami#Porta R., Noppen N., Astoul P. Management of spontaneous pneumothorax: state of the art. Eur. Respir. J. 2006; 28: 637–650.Jordan K.G., Kwong J.S., Flint J., Muller N.L. Surgically treated pneumothorax: radiologic and pathologic findings. Chest 1997; 111: 280–285.Jordan K.G., Kwong J.S., Flint J., Muller N.L. Surgically treated pneumothorax: radiologic and pathologic findings. Chest 1997; 111: 280–285.Lesur O., Delorme N., Frogamet J.M. et al. Computed tomography in the etiologic assessment of idiopathic spontaneous pneumothorax. Chest 1990; 98: 341–347.Lesur O., Delorme N., Frogamet J.M. et al. Computed tomography in the etiologic assessment of idiopathic spontaneous pneumothorax. Chest 1990; 98: 341–347.Janssen S.P., Schramel F.M., Sutedja T.G. et al. Video thoracoscopic appearance of first and recurrent pneumothorax. Chest 1995; 108: 330–334.Janssen S.P., Schramel F.M., Sutedja T.G. et al. Video thoracoscopic appearance of first and recurrent pneumothorax. Chest 1995; 108: 330–334.Donahue D.M., Wright C.D., Viale G., Mathisen D.J. Resection of pulmonary blebs and pleurodesis for spontaneous pneumothorax. Chest 1993; 104: 1767–1769.Donahue D.M., Wright C.D., Viale G., Mathisen D.J. Resection of pulmonary blebs and pleurodesis for spontaneous pneumothorax. Chest 1993; 104: 1767–1769.Sihoe A.D., Yim A.P., Lee T.W. et al. Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery? Chest 2000; 118: 380–383.Sihoe A.D., Yim A.P., Lee T.W. et al. Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery? Chest 2000; 118: 380–383.Ikeda M., Uno A., Yamane Y., Hagiwara W. Median sternotomy with bilateral bullous resection for unilateral spontaneous pneumothorax, with special reference to operative indications. J. Thorac. Cardiovasc. Surg. 1988; 96: 615–620.Ikeda M., Uno A., Yamane Y., Hagiwara W. Median sternotomy with bilateral bullous resection for unilateral spontaneous pneumothorax, with special reference to operative indications. J. Thorac. Cardiovasc. Surg. 1988; 96: 615–620.Horio N., Nomori H., Kobayaski R. et al. Impact of additional pleurodesis in video assisted thoracoscopic bullectomy for primary spontaneous pneumothorax. Surg. Endosc. 2002; 16: 630–634.Horio N., Nomori H., Kobayaski R. et al. Impact of additional pleurodesis in video assisted thoracoscopic bullectomy for primary spontaneous pneumothorax. Surg. Endosc. 2002; 16: 630–634.Baumann M.H., Strange C., Heffner J.E. et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi Consensus Statement. Chest 2001; 119: 590–602.Baumann M.H., Strange C., Heffner J.E. et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi Consensus Statement. Chest 2001; 119: 590–602.De Leyn P., Lismonde M., Niname V. et al. Belgian Society of Pneumology: guidelines on the management of spontaneous pneumothorax. Acta Chir. Belg. 2005; 105: 265–267.De Leyn P., Lismonde M., Niname V. et al. Belgian Society of Pneumology: guidelines on the management of spontaneous pneumothorax. Acta Chir. Belg. 2005; 105: 265–267.Schramel F.M., Golding R.P., Haakman C.D. et al. Expiratory chest radiographs do not improve visibility of small apical pneumothoraces by enhanced contrast. Eur. Respir. J. 1996; 9: 406–409.Schramel F.M., Golding R.P., Haakman C.D. et al. Expiratory chest radiographs do not improve visibility of small apical pneumothoraces by enhanced contrast. Eur. Respir. J. 1996; 9: 406–409.Rhea J.T., De Luca S.A., Greene R.E. Determining the size of pneumothorax in the upright patient. Radiology 1982; 144: 733–736.Rhea J.T., De Luca S.A., Greene R.E. Determining the size of pneumothorax in the upright patient. Radiology 1982; 144: 733–736.Henry M.T. Simple sequential treatment for primary spontaneous pneumothorax: one step closer. Eur. Respir. J. 2006; 27: 448–450.Henry M.T. Simple sequential treatment for primary spontaneous pneumothorax: one step closer. Eur. Respir. J. 2006; 27: 448–450.Uresandi F., Blanquer J., Conget F. et al. Guia para el diagnostico, tratamiento y seguimiento de la tromboembolia pulmonar. Arch. Bronconeumol. 2004; 40: 580–594.Uresandi F., Blanquer J., Conget F. et al. Guia para el diagnostico, tratamiento y seguimiento de la tromboembolia pulmonar. Arch. Bronconeumol. 2004; 40: 580–594.Garcia Rio F., Borderias L., Casanova C. et al. Normativa SEPAR: Patologia respiratoria y vuelos en avion. Arch. Bronconeumol. 2007; 43: 1001–1025.Garcia Rio F., Borderias L., Casanova C. et al. Normativa SEPAR: Patologia respiratoria y vuelos en avion. Arch. Bronconeumol. 2007; 43: 1001–1025.British Thoracic Society Standards of Care Committee. Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations. Thorax 2002; 57: 289–304.British Thoracic Society Standards of Care Committee. Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations. Thorax 2002; 57: 289–304.Aeroscope Medical Association. Medical Guidelines Task Force, Alexandria. Medical guidelines for airline travel. 2nd ed. Aviat. Space Environ. Med. 2003; 77: A1–A19.Aeroscope Medical Association. Medical Guidelines Task Force, Alexandria. Medical guidelines for airline travel. 2nd ed. Aviat. Space Environ. Med. 2003; 77: A1–A19.British Thoracic Society Fitness to Dive Group Society. British Thoracic Society guidelines on respiratory aspects of fitness for diving. Thorax 2003; 58: 3–13.British Thoracic Society Fitness to Dive Group Society. British Thoracic Society guidelines on respiratory aspects of fitness for diving. Thorax 2003; 58: 3–13.Jansveld C.A., Dijkman J.H. Primary spontaneous pneumothorax and smoking. Br. Med. J. 1975; 4: 559–560.Jansveld C.A., Dijkman J.H. Primary spontaneous pneumothorax and smoking. Br. Med. J. 1975; 4: 559–560.Czerny M., Salat A., Fleck T. et al. Lung wedge resection improves outcome in stage I primary spontaneous pneumothorax. Ann. Thorac. Surg. 2004; 77: 1802–1805.Czerny M., Salat A., Fleck T. et al. Lung wedge resection improves outcome in stage I primary spontaneous pneumothorax. Ann. Thorac. Surg. 2004; 77: 1802–1805.O'Rourke J.P., Yee E.S. Civilian spontaneous pneumothorax: treatment options and long term results. Chest 1989; 96: 1302–1306.O'Rourke J.P., Yee E.S. Civilian spontaneous pneumothorax: treatment options and long term results. Chest 1989; 96: 1302–1306.Kirchen L.T., Swartzel R.L. Spontaneous pneumothorax and its treatment. J. A. M. A. 1954; 155: 24–29.Kirchen L.T., Swartzel R.L. Spontaneous pneumothorax and its treatment. J. A. M. A. 1954; 155: 24–29.Hernandez C., Zugasti K., Emparanza J. et al. Neumotorax espontaneo idiopatico: tratamiento basado en la aspiracion con cateter fino frente a drenaje toracico. Arch. Bronconeumol. 1999; 35: 179–182.Hernandez C., Zugasti K., Emparanza J. et al. Neumotorax espontaneo idiopatico: tratamiento basado en la aspiracion con cateter fino frente a drenaje toracico. Arch. Bronconeumol. 1999; 35: 179–182.Harvey J., Prescott R.J. Simple aspiration versus intercostals tube drainage for spontaneous pneumothorax in patients with normal lungs. Br. Med. J. 1994; 309: 1338–1339.Harvey J., Prescott R.J. Simple aspiration versus intercostals tube drainage for spontaneous pneumothorax in patients with normal lungs. Br. Med. J. 1994; 309: 1338–1339.Ayed A.K., Chandrasekaran C., Sukumar M. Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study. Eur. Respir. J. 2006; 27: 477–482.Ayed A.K., Chandrasekaran C., Sukumar M. Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study. Eur. Respir. J. 2006; 27: 477–482.Noppen M., Alexander P., Driesen P. et al. Manual aspiration versus chest tube drainage in first episodes of primary spontaneous pneumothorax: a multicenter, prospective, randomized pilot study. Am. J. Respir. Crit. Care Med. 2002; 165: 1240–1244.Noppen M., Alexander P., Driesen P. et al. Manual aspiration versus chest tube drainage in first episodes of primary spontaneous pneumothorax: a multicenter, prospective, randomized pilot study. Am. J. Respir. Crit. Care Med. 2002; 165: 1240–1244.Baumann M., Strange C. Treatment of spontaneous pneumothorax. A more aggressive approach? Chest 1997; 112: 789–804.Baumann M., Strange C. Treatment of spontaneous pneumothorax. A more aggressive approach? Chest 1997; 112: 789–804.Minami H., Saka H., Senda K. et al. Small caliber catheter drainage for spontaneous pneumothorax. Am. J. Med. Sci. 1992; 304: 345–347.Minami H., Saka H., Senda K. et al. Small caliber catheter drainage for spontaneous pneumothorax. Am. J. Med. Sci. 1992; 304: 345–347.So S.Y., Yu D.Y. Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal? Thorax 1982; 37: 46–48.So S.Y., Yu D.Y. Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal? Thorax 1982; 37: 46–48.Sanni A., Critchley A., Dunning J. Should chest drains be put on suction or not following pulmonary lobectomy? Interact. Cardiovasc. Thorac. Surg. 2006; 5: 275–278.Sanni A., Critchley A., Dunning J. Should chest drains be put on suction or not following pulmonary lobectomy? Interact. Cardiovasc. Thorac. Surg. 2006; 5: 275–278.Noppen M. Pneumothorax and bronchopleural fistula. Eur. Respir. Mon. 2006; 36: 165–176.Noppen M. Pneumothorax and bronchopleural fistula. Eur. Respir. Mon. 2006; 36: 165–176.Chee C.B.E., Abisheganaden J., Yeo J.K.S. et al. Persistent airleak in spontaneous pneumothorax – clinical course and outcome. Respir. Med. 1998; 92: 757–761.Chee C.B.E., Abisheganaden J., Yeo J.K.S. et al. Persistent airleak in spontaneous pneumothorax – clinical course and outcome. Respir. Med. 1998; 92: 757–761.Sawada S., Watanabe Y., Moriyama S. Video assisted thoracoscopic surgery for primary spontaneous pneumothorax. Evaluation of indications and longterm outcome compared with conservative treatment and open thoracotomy. Chest 2005; 127: 2226–2230.Sawada S., Watanabe Y., Moriyama S. Video assisted thoracoscopic surgery for primary spontaneous pneumothorax. Evaluation of indications and longterm outcome compared with conservative treatment and open thoracotomy. Chest 2005; 127: 2226–2230.Campos#Werebe E., Pazetti R., Ribas#Milanes#de#Campos J. et al. Systemic distribution of talc after intrapleural administration in rats. Chest 1999; 115: 190–193.Campos#Werebe E., Pazetti R., Ribas#Milanes#de#Campos J. et al. Systemic distribution of talc after intrapleural administration in rats. Chest 1999; 115: 190–193.Light R.W. Talc for pleurodesis? Chest 2002; 122: 1506–1508.Light R.W. Talc for pleurodesis? Chest 2002; 122: 1506–1508.Ando M., Yamamoto M., Kitagawa C. et al. Autologous bloodpatch pleurodesis for secondary spontaneous pneumothorax with persistent air leak. Respir. Med. 1999; 93: 432–434.Ando M., Yamamoto M., Kitagawa C. et al. Autologous bloodpatch pleurodesis for secondary spontaneous pneumothorax with persistent air leak. Respir. Med. 1999; 93: 432–434.Rivas de Andres J.J., Blanco S., De la Torre M. Postsurgical pleurodesis with autologous blood in patients with persistent air leak. Ann. Thorac. Surg. 2000; 70: 270–272.Rivas de Andres J.J., Blanco S., De la Torre M. Postsurgical pleurodesis with autologous blood in patients with persistent air leak. Ann. Thorac. Surg. 2000; 70: 270–272.Waller D.A., McConnell S.A., Rajesh P.B. Delayed referral reduces the success of video assisted thoracoscopic surgery for spontaneous pneumothorax. Respir. Med. 1998; 92: 246–249.Waller D.A., McConnell S.A., Rajesh P.B. Delayed referral reduces the success of video assisted thoracoscopic surgery for spontaneous pneumothorax. Respir. Med. 1998; 92: 246–249.Bagan P., Le Pimpec Barthes F., Assouad J. et al. Catamenial pneumothorax: retrospective study of surgical treatment. Ann. Thorac. Surg. 2003; 75: 378–381.Bagan P., Le Pimpec Barthes F., Assouad J. et al. Catamenial pneumothorax: retrospective study of surgical treatment. Ann. Thorac. Surg. 2003; 75: 378–381.Alifano M., Cancellieri A., Fornelli A. et al. Endometriosis related pneumothorax: clinicopathologic observations from a newly diagnosed case. J. Thorac. Cardiovasc. Surg. 2004; 127: 1219–1221.Alifano M., Cancellieri A., Fornelli A. et al. Endometriosis related pneumothorax: clinicopathologic observations from a newly diagnosed case. J. Thorac. Cardiovasc. Surg. 2004; 127: 1219–1221.Korom S., Canyurt H., Missbach A. et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J. Thorac. Cardiovasc. Surg. 2004; 128: 502–508.Korom S., Canyurt H., Missbach A. et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J. Thorac. Cardiovasc. Surg. 2004; 128: 502–508.Fonseca P. Catamenial pneumothorax: a multifactorial etiology. J. Thorac. Cardiovasc. Surg. 1998; 116: 872–873.Fonseca P. Catamenial pneumothorax: a multifactorial etiology. J. Thorac. Cardiovasc. Surg. 1998; 116: 872–873.Kirschner P.A. Porous diaphragm syndromes. Chest Surg. Clin. N. Am. 1998; 8: 449–472.Kirschner P.A. Porous diaphragm syndromes. Chest Surg. Clin. N. Am. 1998; 8: 449–472.Harbour R., Millar J. A new system for grading recommen dations in evidence based guidelines. Br. Med. J. 2001; 323: 334–336.Harbour R., Millar J. A new system for grading recommen dations in evidence based guidelines. Br. Med. J. 2001; 323: 334–336.
The authors declare that there are no conflicts of interest present.