{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T00:20:38Z","timestamp":1648945238552},"reference-count":7,"publisher":"Akademiai Kiado Zrt.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2014,8,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A hazai mellkasseb\u00e9szetek j\u00f3 r\u00e9sz\u00e9ben \u00e9rv\u00e9nyben l\u00e9v\u0151 aranyszab\u00e1ly szerint napi rutinmellkasr\u00f6ntgen- (RTG-) vizsg\u00e1lat elv\u00e9gz\u00e9se javasolt t\u00fcd\u0151lobectomia ut\u00e1n mindaddig, am\u00edg a betegeknek mellkasi cs\u00f6v\u00fck van. M\u00e1s itthoni centrumokban viszont nem ragaszkodnak ehhez a gyakorlathoz. A szerz\u0151k e k\u00e9t szeml\u00e9let eredm\u00e9nyeit hasonl\u00edtj\u00e1k \u00f6ssze oszt\u00e1lyuk anyag\u00e1ban. <jats:italic>Anyag \u00e9s m\u00f3dszer:<\/jats:italic> 148 olyan beteget \u00e9rt\u00e9keltek, akikn\u00e9l probl\u00e9mamentes lobectomia \u00e9s egy mellkasi cs\u0151 behelyez\u00e9se t\u00f6rt\u00e9nt. A rutinmellkas-RTG-csoportba (R-RTG) 50 beteg tartozik, akikn\u00e9l k\u00f6zvetlen\u00fcl a m\u0171t\u00e9t ut\u00e1n, valamint a sz\u00edv\u00e1s idej\u00e9n naponta rutinszer\u0171en \u00e9s a cs\u0151 elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151 napon szint\u00e9n mellkas-RTG-felv\u00e9tel k\u00e9sz\u00fclt. 98 betegn\u00e9l csak t\u00fcnetek \u00e9s\/vagy panasz eset\u00e9n (l\u00e1z, hypoxia, subcutan emphysema, tart\u00f3s leveg\u0151kil\u00e9p\u00e9s) \u00e9s\/vagy a mellkasi drain elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151 napon k\u00e9sz\u00fclt RTG (T-RTG). A k\u00f6vetkez\u0151 m\u0171t\u00e9t ut\u00e1ni adatokat \u00e9rt\u00e9kelt\u00e9k: l\u00e1z, k\u00f3ros RTG k\u00e9p\/lelet (pneumothorax [PTX], folyad\u00e9k, atelectasia, subcutan emphysema, haematoma), RTG-felv\u00e9telek sz\u00e1ma, drainage-tartam \u00e9s esetleges \u00faj cs\u0151 behelyez\u00e9se. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az \u00e1tlagos drainage-id\u0151 3,7 \u00e9s 3,8 nap volt az R-RTG- \u00e9s a T-RTG-csoportokban. A mellkasi cs\u0151 elt\u00e1vol\u00edt\u00e1s\u00e1t k\u00f6vet\u0151en k\u00f3ros RTG-leletet az R-RTG-csoport betegeinek 50%-\u00e1ban (25\/50) \u00e9s a T-RTG-csoport 46,9%-\u00e1ban (46\/98) (<jats:italic>p<\/jats:italic> = 0,724) kaptak, de \u00faj cs\u0151 behelyez\u00e9s\u00e9re az R-RTG-csoportban csak 12%-ban (3\/25), illetve a T-RTG-csoportban csak 15,2%-ban (7\/46) volt sz\u00fcks\u00e9g. Az elk\u00e9sz\u00edtett RTG-felv\u00e9telek sz\u00e1ma az R-RTG-csoportban 5,0, m\u00edg a T-RTG-csoportban 2,3 volt (<jats:italic>p<\/jats:italic> = 0,0001). <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Nem volt t\u00f6bb m\u0171t\u00e9t ut\u00e1ni sz\u00f6v\u0151dm\u00e9ny \u00e9s cs\u0151elt\u00e1vol\u00edt\u00e1s ut\u00e1ni k\u00f3ros RTG-lelet, ha az RTG-felv\u00e9tel csak a betegek t\u00fcnetei\/panaszai alapj\u00e1n k\u00e9sz\u00fclt a rutinszer\u0171 napi RTG-vizsg\u00e1latok helyett. A k\u00f3ros RTG-leleteken jelzett sz\u00f6v\u0151dm\u00e9nyeknek csak 12\u201315%-a ig\u00e9nyelt \u00faj cs\u0151behelyez\u00e9st. A t\u00fcnetek alapj\u00e1n k\u00e9rt RTG-felv\u00e9telek sz\u00e1ma megk\u00f6zel\u00edt\u0151leg 50%-kal cs\u00f6kkenthet\u0151.<\/jats:p>","DOI":"10.1556\/maseb.67.2014.4.2","type":"journal-article","created":{"date-parts":[[2014,8,15]],"date-time":"2014-08-15T01:29:43Z","timestamp":1408066183000},"page":"252-255","source":"Crossref","is-referenced-by-count":2,"title":["Sz\u00fcks\u00e9ges-e a naponk\u00e9nti rutinmellkasr\u00f6ntgen t\u00fcd\u0151resectio ut\u00e1n? Bizony\u00edt\u00e9kalap\u00fa d\u00f6nt\u00e9si taktika"],"prefix":"10.1556","volume":"67","author":[{"given":"J\u00f3zsef","family":"Fur\u00e1k","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, Sz\u0151kefalvi-Nagy B\u00e9la u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"G\u00e9czi","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, Sz\u0151kefalvi-Nagy B\u00e9la u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"P\u00e9csy","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, 6701, Szeged, Sz\u0151kefalvi-Nagy B\u00e9la u. 6."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zita","family":"Morvay","sequence":"additional","affiliation":[{"name":"2 Radiol\u00f3giai Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1016\/j.athoracsur.2007.05.058","article-title":"Fast-tracking after video-assisted thoracoscopic surgery lobectomy, segmentectomy, and pneumonectomy","volume":"84","author":"McKenna RJ","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1016\/j.athoracsur.2011.04.002","article-title":"Daily chest roentgenograms are unnecessary in nonhypoxic patients who have undergone pulmonary resection by thoracotomy","volume":"92","author":"Cerfolio RJ","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"3","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1093\/icvts\/ivs037","article-title":"Is routine chest radiography indicated following chest drain removal after cardiothoracic surgery?","volume":"14","author":"Sepehripour AH","year":"2012","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"4","volume-title":"Mellkasseb\u00e9szet a h\u00e9tk\u00f6znapi gyakorlatban","author":"Moln\u00e1r FT","year":"2013"},{"key":"5","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/021849230701500112","article-title":"Postoperative residual pleural spaces: Characteristics and natural history","volume":"15","author":"Misthos P","year":"2007","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"6","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S1569-9293(03)00054-9","article-title":"Implementation of a user-friendly protocol for interpretation of air-leaks and management of intercostal chest drains after thoracic surgery","volume":"2","author":"Martin-Ucar AE","year":"2003","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"7","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ejcts.2009.05.006","article-title":"Evaluation of a new chest tube removal protocol using digital air leak monitoring after lobectomy: A prospective randomised trial","volume":"37","author":"Brunelli A","year":"2010","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Magyar Seb\u00e9szet"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/1046\/67\/4\/article-p252.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akademiai.com\/doi\/pdf\/10.1556\/maseb.67.2014.4.2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T09:34:20Z","timestamp":1590140060000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/doi\/10.1556\/maseb.67.2014.4.2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,1]]},"references-count":7,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1556\/maseb.67.2014.4.2","relation":{},"ISSN":["0025-0295","1789-4301"],"issn-type":[{"value":"0025-0295","type":"print"},{"value":"1789-4301","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,1]]}}}