{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T11:22:43Z","timestamp":1764588163150},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Als Pneumothorax bezeichnet man das Vorhandensein von freier Luft zwischen der Pleura visceralis und der Pleura parietalis. Es kommt zu einer \u201eAbl\u00f6sung\u201c der Lunge von der Brustwand, welche in Abh\u00e4ngigkeit von dem Ausma\u00df des Pneumothorax zu einer geringen oder auch klinisch bedrohlichen Einschr\u00e4nkung der Lungenfunktion f\u00fchrt. Unspezifische Zeichen wie thorakaler Schmerz oder Hustenreiz sind h\u00e4ufig und korrelieren nicht mit der Ausdehnung des Pneumothorax. Nahezu ausnahmslos besteht die Ursache dieser Luftansammlung in einer Undichtigkeit der Lungenoberfl\u00e4che, welche dann zu dem Ausweichen der Luft in den Pleuraraum f\u00fchrt. Je nach Ursache der \u201eLungenundichtigkeit\u201c unterscheidet man einen prim\u00e4ren (idiopathischen) Spontanpneumothorax (PSP), bei zugrundliegender bekannter Lungenerkrankung einen sekund\u00e4ren Spontanpneumothorax (SSP), im Zusammenhang einer Lungenverletzung durch medizinische Ma\u00dfnahmen einen iatrogenen Pneumothorax sowie bei einem unfallbedingten Lungenriss\n\t\t\t\t\teinen traumatischen Pneumothorax. Die relevanten Therapieziele sind die Behebung der akuten Symptomatik, die verl\u00e4ssliche Erreichung einer Wiederausdehnung der Lunge sowie nach entsprechender Aufkl\u00e4rung \u00fcber die Wahrscheinlichkeit und klinische Bedeutung eines Pneumothoraxrezidives je nach Patientenwunsch die Vermeidung eines Rezidives durch operative Ma\u00dfnahmen. Die Therapiem\u00f6glichkeiten reichen hier von einem lediglich befundkontrollierenden abwartenden ambulanten Prozedere bis hin zu einer prim\u00e4ren videoassistierten thorakoskopischen operativen Therapie mit Detektion und Resektion der oberfl\u00e4chlichen Lungenl\u00e4sion sowie einer die Pleurah\u00f6hle obliterierenden Ma\u00dfnahme zur Rezidivprophylaxe. Bez\u00fcglich einer \u201eNachsorge\u201c oder gar Verhaltensempfehlungen nach stattgehabtem Pneumothorax gibt es keine Empfehlungen, die die Rezidivgefahr verringern.<\/jats:p>","DOI":"10.1055\/a-1256-6008","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T02:38:43Z","timestamp":1613529523000},"page":"126-144","source":"Crossref","is-referenced-by-count":2,"title":["Pneumothorax"],"prefix":"10.1055","volume":"146","author":[{"given":"Stephan","family":"Eggeling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/j.0954-6820.1933.tb10781.x","article-title":"Pneumothorax simplex","volume":"80","author":"H Kj\u00e6rgaard","year":"1933","journal-title":"Acta Med 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