{"id":503,"date":"2020-03-08T17:54:17","date_gmt":"2020-03-08T16:54:17","guid":{"rendered":"https:\/\/admsu.org\/?p=503"},"modified":"2020-03-08T18:18:33","modified_gmt":"2020-03-08T17:18:33","slug":"biblio-n3","status":"publish","type":"post","link":"https:\/\/admsu.org\/w\/biblio-n3\/","title":{"rendered":"Biblio n\u00b03"},"content":{"rendered":"\n<p>Femme de 80 ans, admise aux urgences pour toux s\u00e8che. Eupn\u00e9ique, stabilit\u00e9 HD. Abolition du murmure v\u00e9siculaire gauche.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"872\" height=\"861\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-complet.jpg\" alt=\"\" class=\"wp-image-504\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-complet.jpg 872w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-complet-300x296.jpg 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-complet-768x758.jpg 768w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-complet-100x100.jpg 100w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-complet-560x553.jpg 560w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><figcaption>Radiographie thoracique de face<\/figcaption><\/figure>\n\n\n\n<p>Quelle strat\u00e9gie adopter pour la prise en charge d&#8217;un pneumothorax complet spontan\u00e9 ?<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"432\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Capture-1024x432.jpg\" alt=\"\" class=\"wp-image-506\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Capture-1024x432.jpg 1024w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Capture-300x126.jpg 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Capture-768x324.jpg 768w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Capture-560x236.jpg 560w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Capture.jpg 1464w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-video\"><video height=\"912\" style=\"aspect-ratio: 1192 \/ 912;\" width=\"1192\" controls src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Conservative-Treatment-of-Spontaneous-Pneumothorax-NEJM-1.mp4\" playsinline><\/video><\/figure>\n\n\n\n<p>La radiographie retrouve un pneumothorax complet avec d\u00e9viation trach\u00e9ale. Si la patiente ne pr\u00e9sente pas d&#8217;instabilit\u00e9 h\u00e9modynamique \u00e0 la faveur d&#8217;un pneumothorax compressif, la d\u00e9viation m\u00e9diastinale est un \u00e9l\u00e9ment pr\u00e9curseur. L&#8217;attitude conservatrice ne doit pas \u00eatre retenue dans cette situation.<\/p>\n\n\n\n<p>M\u00eame en l&#8217;absence de co-morbidit\u00e9, a cette \u00e2ge il faut \u00e9voquer une cause secondaire. Plut\u00f4t qu&#8217;une aspiration \u00e0 l&#8217;aiguille, il faut opter pour un drainage thoracique.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"795\" height=\"348\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Sans-titre.png\" alt=\"\" class=\"wp-image-508\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Sans-titre.png 795w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Sans-titre-300x131.png 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Sans-titre-768x336.png 768w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Sans-titre-560x245.png 560w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<p>Il faut donc dans cette situation pr\u00e9f\u00e9rer un drain de petit calibre. Le choix s&#8217;est port\u00e9 sur le Pleurocath\u00ae.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"932\" height=\"824\" src=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-drain\u00e9.jpg\" alt=\"\" class=\"wp-image-509\" srcset=\"https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-drain\u00e9.jpg 932w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-drain\u00e9-300x265.jpg 300w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-drain\u00e9-768x679.jpg 768w, https:\/\/admsu.org\/w\/wp-content\/uploads\/2020\/03\/Rx-Pneumothorax-drain\u00e9-560x495.jpg 560w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<p>Sur le clich\u00e9 de contr\u00f4le, il existe un foyer pulmonaire de base gauche.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Femme de 80 ans, admise aux urgences pour toux s\u00e8che. Eupn\u00e9ique, stabilit\u00e9 HD. Abolition du murmure v\u00e9siculaire gauche. Quelle strat\u00e9gie adopter pour la prise en charge d&#8217;un pneumothorax complet spontan\u00e9 ? La radiographie retrouve un pneumothorax complet avec d\u00e9viation trach\u00e9ale. Si la patiente ne pr\u00e9sente pas d&#8217;instabilit\u00e9 h\u00e9modynamique \u00e0 la faveur d&#8217;un pneumothorax compressif, la &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/admsu.org\/w\/biblio-n3\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;Biblio n\u00b03&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-503","post","type-post","status-publish","format-standard","hentry","category-non-classe"],"_links":{"self":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/503","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/comments?post=503"}],"version-history":[{"count":5,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/503\/revisions"}],"predecessor-version":[{"id":528,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/posts\/503\/revisions\/528"}],"wp:attachment":[{"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/media?parent=503"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/categories?post=503"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/admsu.org\/w\/wp-json\/wp\/v2\/tags?post=503"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}