A place for XXXX in the treatment of spontaneous pneumothorax.

@entity1 @entity891 @entity1173
In a retrospective survey of 195 @entity1 with spontaneous pneumothorax, 100 had a deep (greater than 20%) air space. Thirty one @entity1 were considered unsuitable for @entity1173 because of complicating disease. Sixty nine @entity1 were treated by @entity1173 , and in 45 of these reexpansion was sufficient for the case to be managed as shallow pneumothorax while the @entity1 remained ambulant. The average initial @entity1173 from the 69 @entity1 was 1 X 1 litres. The intrapleural pressure was subatmospheric in only 22 (49%) of the 45 successfully aspirated @entity1 . A chest radiograph several hours after @entity1173 is the principal control required for this treatment. The recurrence rate was 11.1%. Of 95 @entity1 with a shallow pneumothorax, 3 were intubated for progressive @entity891 and the remainder were encouraged to lead a normal life. The recurrence rate was 11.6%. Retrospectively, it was concluded that 137 @entity1 (70%) had a closed pneumothorax at diagnosis. Primary intubation of all @entity1 with a deep pneumothorax would have represented overtreatment.
