Based on a retrospective study of 33 patients with spontaneous pneumothorax, the authors present their experience with the diagnostic and therapeutic procedure. In the majority of patients treatment was started by active suction drainage of the chest. After re-expansion of the lung another X-ray examination was made, incl. computed tomography of the chest, and endoscopic examination (bronchoscopy, thoracoscopy). On account of a relapse of pneumothorax in three patients thoracoscopy was performed and in seven patients thoracotomy. The operated patients recovered and are without signs of relapse of pneumothorax.
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