{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:46:33Z","timestamp":1760028393241},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2010,6,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A spont\u00e1n pneumothorax kezel\u00e9s\u00e9ben a mellkasdrainage mellett a videothoracoscopia jelent\u0151s szerepet j\u00e1tszik. Jelen k\u00f6zlem\u00e9ny c\u00e9lja a k\u00fcl\u00f6nb\u00f6z\u0151 ter\u00e1pi\u00e1s elj\u00e1r\u00e1sok \u00e9rt\u00e9kel\u00e9se, a korai eredm\u00e9nyek szempontj\u00e1b\u00f3l. <jats:italic>Betegek \u00e9s m\u00f3dszer:<\/jats:italic> A szerz\u0151k 5 \u00e9v alatt 243 beteget (184 f\u00e9rfi, 59 n\u0151) 302 esetben kezeltek spont\u00e1n pneumothorax miatt. A primer pneumothorax miatt kezelt 114 beteg \u00e1tlag\u00e9letkora (23,1 \u00b1 5 \u00e9v) szignifik\u00e1nsan alacsonyabb volt a 129 szekunder ptx (51,5 \u00b1 15 \u00e9v) miatt kezeltek\u00e9n\u00e9l. Partialis pneumothorax eset\u00e9n observatio 24 (8%), aspir\u00e1ci\u00f3 6 (2%) esetben t\u00f6rt\u00e9nt. A mellkas cs\u00f6vez\u00e9s\u00e9t 241 (67,6%) esetben v\u00e9gezt\u00e9k. M\u0171t\u00e9ti indik\u00e1ci\u00f3 volt a recid\u00edv, a kor\u00e1bbi ellenoldali, valamint a drainage hat\u00e1s\u00e1ra nem gy\u00f3gyul\u00f3 pneumothorax. Videothoracoscopi\u00e1t 71 (23,5%), minithoracotomi\u00e1t 5 (1,7%), axillaris thoracotomi\u00e1t 13 (4,3%) esetben indik\u00e1ltak. A m\u0171t\u00e9tet 25 esetben partialis pleurectomi\u00e1val, 32 esetben talcumos, 3 esetben mechanikus pleurodesisszel eg\u00e9sz\u00edtett\u00e9k ki. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A konzervat\u00edv kezel\u00e9s 80%-ban, a drainage 84,7%-ban vezetett gy\u00f3gyul\u00e1shoz. A 71 VATS sor\u00e1n 8 esetben (11,3%) konvert\u00e1lt\u00e1k a m\u0171t\u00e9tet. VATS, thoracotomia \u00e9s minithoracotomia ut\u00e1n valamennyi beteg meggy\u00f3gyult. A posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyek ar\u00e1nya VATS ut\u00e1n 6,3%, thoracotomia ut\u00e1n 7,7% volt. Az \u00e1pol\u00e1si napok sz\u00e1ma drainage ut\u00e1n 8,5, VATS ut\u00e1n 9,1, thoracotomia ut\u00e1n 11,3 nap volt. A szekunder ptx-os csoportban drainage ut\u00e1ni \u00e1pol\u00e1si id\u0151 (9,2 vs. 7,4 nap) szignifik\u00e1nsan, a hal\u00e1loz\u00e1s (2,6 vs. 0%) nem volt szignifik\u00e1nsan magasabb, mint a primer ptx-os csoportban. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A szekunder spont\u00e1n l\u00e9gmell az id\u0151sebb koroszt\u00e1lyt \u00e9rinti, az \u00e1pol\u00e1si id\u0151 \u00e9s mortalit\u00e1s magasabb, mint a primer ptx miatt kezeltekn\u00e9l. Kezel\u00e9s alapvet\u0151en a mellkasi drainage. Recid\u00edva, a drainage eredm\u00e9nytelens\u00e9ge \u00e9s ellenoldali kor\u00e1bbi pneumothorax eset\u00e9n els\u0151sorban VATS javasolt.<\/jats:p>","DOI":"10.1556\/maseb.63.2010.3.2","type":"journal-article","created":{"date-parts":[[2010,6,29]],"date-time":"2010-06-29T14:34:50Z","timestamp":1277822090000},"page":"112-117","source":"Crossref","is-referenced-by-count":2,"title":["A spont\u00e1n pneumothorax kezel\u00e9se k\u00fcl\u00f6n\u00f6s tekintettel a videothoracoscopi\u00e1ra"],"prefix":"10.1556","volume":"63","author":[{"given":"Zsolt","family":"Szentkereszty","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Mellkasseb\u00e9szeti K\u00f6zpont Debreceni Egyetem Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienn","family":"Csiszk\u00f3","sequence":"additional","affiliation":[{"name":"2 Gyermekgy\u00f3gy\u00e1szati Klinika, Gyermekseb\u00e9szeti Oszt\u00e1ly Debreceni Egyetem Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikl\u00f3s","family":"Boros","sequence":"additional","affiliation":[{"name":"2 Gyermekgy\u00f3gy\u00e1szati Klinika, Gyermekseb\u00e9szeti Oszt\u00e1ly Debreceni Egyetem Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luk\u00e1cs","family":"Veres","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Int\u00e9zet, Mellkasseb\u00e9szeti K\u00f6zpont Debreceni Egyetem Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e1ndor","family":"Sz. 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