Marshall M Blair
Division of Thoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ann Thorac Surg. 2006 Oct;82(4):1543-4. doi: 10.1016/j.athoracsur.2005.10.035.
Pneumothoraxes, whether spontaneous or iatrogenic, frequently require drainage. Although the recent trend has been toward a catheter-based approach, many thoracic surgeons continue to use chest tubes. Tube thoracostomy is associated with significant pain at the time of insertion and during continued drainage. Pneumothorax catheters are less painful but more expensive, and some have been associated with significant failure. After disappointing experience with pneumothorax catheters, we have modified a central line to use in lieu of a pneumothorax kit. We have found this technique to be effective, safe, reliable, and inexpensive.
气胸，无论是自发性的还是医源性的，通常都需要引流。尽管最近的趋势是采用基于导管的方法，但许多胸外科医生仍继续使用胸管。胸廓造口置管术在插入时和持续引流期间会带来明显疼痛。气胸导管引起的疼痛较轻，但费用更高，而且有些还与显著的失败率相关。在对气胸导管有了令人失望的体验后，我们对中心静脉导管进行了改良，以替代气胸套件使用。我们发现这种技术有效、安全、可靠且成本低廉。
