气胸前针吸术后危及生命的出血。侧针吸在自发性气胸紧急减压中的作用。
Life threatening haemorrhage after anterior needle aspiration of pneumothoraces. A role for lateral needle aspiration in emergency decompression of spontaneous pneumothorax.
作者信息
Rawlins R, Brown K M, Carr C S, Cameron C R
机构信息
King's College Hospital, London, UK. St Thomas's Hospital, London, UK. Guy's Hospital, London, UK.
出版信息
Emerg Med J. 2003 Jul;20(4):383-4. doi: 10.1136/emj.20.4.383.
Needle aspiration is a recognised emergency treatment of spontaneous pneumothorax and in the case of suspected tension is usually performed before chest radiography. Three cases are described of apparent life threatening haemorrhage after anterior aspiration in the second intercostal space, mid-clavicular line (2ICS MCL) requiring resuscitation, and transfer to a cardiothoracic unit. In these patients there was no evidence of haemothorax on initial presentation. Lateral needle aspiration, in the site recommended for chest drain insertion, the 5th intercostal space, anterior axillary line (5ICS ALL) is technically easy and may be a potentially safer option for decompressing pneumothoraces.
针吸术是公认的自发性气胸的紧急治疗方法，对于疑似张力性气胸的情况，通常在胸部X线检查之前进行。本文描述了3例在锁骨中线第二肋间（2ICS MCL）进行前侧针吸术后出现明显危及生命的出血病例，这些患者需要进行复苏，并转至心胸外科病房。这些患者在初次就诊时没有血胸的证据。在推荐用于放置胸腔引流管的部位，即腋前线第五肋间（5ICS ALL）进行侧方针吸术，在技术上较为容易，可能是一种潜在更安全的气胸减压选择。
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