Gayer G, Rozenman J, Hoffmann C, Apter S, Simansky D A, Yellin A, Itzchak Y
Department of Diagnostic Imaging, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Br J Radiol. 2000 Jul;73(871):786-90. doi: 10.1259/bjr.73.871.11089474.
Insertion of a chest tube into the pleural space is standard management for various pleural disorders. Malpositioning of chest tubes in extrathoracic, intraparenchymal and mediastinal locations and in the fissures is common. Malpositioning results not only in inadequate drainage of air and fluid but may also result in increased morbidity and mortality. Diagnosis of a malpositioned tube is sometimes difficult to establish on a chest radiograph. CT, however, has proven to be extremely accurate in evaluating the position of a chest tube and has often provided additional valuable information with significant therapeutic impact.
在各种胸膜疾病中，将胸管插入胸膜腔是标准的治疗方法。胸管位于胸外、实质内、纵隔以及肺裂中的位置不当很常见。位置不当不仅会导致空气和液体引流不充分，还可能导致发病率和死亡率增加。有时很难通过胸部X光片确定胸管位置不当。然而，CT已被证明在评估胸管位置方面极其准确，并且常常能提供具有重要治疗意义的额外有价值信息。
