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master's thesis
Primary spontaneous pneumothorax: diagnosis, complication, treatment
Zagreb: University of Zagreb, School of Medicine, 2019. urn:nbn:hr:105:676152
Daulatzai, Mirwais
University of Zagreb
School of Medicine
Department of Internal Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Daulatzai, M. (2019). Primary spontaneous pneumothorax: diagnosis, complication, treatment (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:676152

Daulatzai, Mirwais. "Primary spontaneous pneumothorax: diagnosis, complication, treatment." Master's thesis, University of Zagreb, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:105:676152

Daulatzai, Mirwais. "Primary spontaneous pneumothorax: diagnosis, complication, treatment." Master's thesis, University of Zagreb, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:105:676152

Daulatzai, M. (2019). 'Primary spontaneous pneumothorax: diagnosis, complication, treatment', Master's thesis, University of Zagreb, School of Medicine, accessed 25 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:676152

Daulatzai M. Primary spontaneous pneumothorax: diagnosis, complication, treatment [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2019 [cited 2024 November 25] Available at: https://urn.nsk.hr/urn:nbn:hr:105:676152

M. Daulatzai, "Primary spontaneous pneumothorax: diagnosis, complication, treatment", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:105:676152

Metadata
TitlePrimary spontaneous pneumothorax: diagnosis, complication, treatment
Title (croatian)Primarni spontani pneumotoraks: dijagnoza, komplikacije, liječenje
AuthorMirwais Daulatzai
MentorVesna Degoricija (mentor)
Committee memberVesna Degoricija (predsjednik povjerenstva)
Committee memberRadovan Radonić (član povjerenstva)
Committee memberMiroslav Samaržija (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Zagreb
Defense date and country2019-09-10, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Today, the etiology of primary spontaneous pneumothorax (PSP) in the most cases can be identified which has led to its better understanding and management. It is mainly caused by the rupture of a small subpleural emphysematous vesicle (designated a bleb) or of a subpleural paraseptal emphysematous lesion (designated a bulla). The most effective diagnostic procedure amongst numerous imaging modalities is the ultrasound using Daniel Lichtenstein's method. This imaging technique is the gold standard for clinicians to detect pneumothorax. Complications associated with PSP are low with first-time diagnosis and it includes prolong air leakage (7% to 14%) with conservative treatment. However, there are procedural and non-procedural complications and all of which can lead to recurrent form of pneumothorax. The treatment options depend on various factors including patients' current health status, age, type and size of the pneumothorax on CT scan, complications, severity of symptoms and indicators of acute illness. Treatment of PSP range from conservative to immediate needle decompression or insertion of a chest tube. Latest modalities of treatment of PSP include the use of video-assisted thoracoscopic surgery (VATS) and in some cases chemical pleurodesis.
Abstract (croatian)
Danas se etiologija primarnog spontanog pneumotoraksa (PSP) u većini slučajeva može otkriti što je dovelo do boljeg shvaćanja i zbrinjavanja ovog oblika pneumotoraksa. Najčešće je uzrokovan rupturom malog subpleuralnog emfizematoznog mjehurića (tzv. bleba) ili subpleuralne paraseptalne emfizematske lezije (tzv. bulla). Najučinkovitija dijagnostička pretraga među brojnim radiološkim modalitetima je ultrazvuk, korištenjem Daniel Lichtensteinove metode. Ova radiološka metoda predstavlja „zlatni standard“ i metodu izbora kojom liječnici mogu otkriti pneumotoraks. Komplikacije povezane s PSP-om su rijetke s prvom epizodom i uključuju produljeno curenje zraka (7 do 14%) s konzervativnim liječenjem. Međutim, postoje proceduralne i neproceduralne komplikacije koje sve mogu dovesti do recidivirajućeg pneumotoraksa. Metode liječenja ovise o mnogo čimbenika, uključujući trenutno pacijentovo zdravstveno stanje, dob, tip i veličinu pneumotoraksa na CT-u, ozbiljnost simptoma te pokazatelje akutne bolesti. Metode zbrinjavanja sežu od konzervativnog liječenja do hitne dekompresije iglom ili uvođenja torakalnog drena. Najnovije metode liječenja PSP-a uključuju uporabu video-asistirane torakoskopske kirurgije (VATS) i u nekim slučajevima kemijsku pleurodezu.
Keywords
Keywords (croatian)
Languageenglish
URN:NBNurn:nbn:hr:105:676152
Study programmeTitle: Medicine (in English language)
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2020-07-20 07:48:36