Vélez Sebastián E, Sarquis Guillermo
Servicio de Cirugia General, Departamento de Cirugía de Tórax, Hospital Municipal de Urgencias de Córdoba, Catamarca 441, 5000, Córdoba, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2006;63(1):7-10.
toracostomy in thoracic trauma is a good opportunity for the digital exploration of pleural cavity.
To evaluate the utility of digital exploration during chest tube insertion in thoracic trauma.
Hospital de Urgencias. Córdoba.
patients with blunt and penetrating chest trauma by stab wound, who need chest tube insertion and treated by only one surgeon, were evaluated from July 10 to December 31st 2000. Previously to the thoracostomy with 24 french tube in 5th intercostal space, at the affected side, a digital exploration of pleural cavity was done, attempting to find intrathoracic injuries.
in a six months period, 36 thoracostomy tubes were placed, due thoracic trauma (11 blunt trauma and 25 penetrating, by stab wound). Three patients had positive findings in the digital exploration, which forced to do another diagnostic or therapeutic procedures.
digital thoracotomy is not considered a formal procedure, but as a part of a technique, in which, the previous exploration with the finger before chest tube insertion, allows to reach a diagnosis of the pleural space situation, to confirm suspicions, to modify a conduct, and to avoid greater morbidity to patients.
胸部创伤中的胸廓造口术是对胸腔进行指诊探查的良好时机。
评估胸部创伤患者插入胸管期间进行指诊探查的效用。
科尔多瓦市紧急医院。
对2000年7月10日至12月31日期间因钝性和穿透性胸部刺伤而需要插入胸管且仅由一名外科医生治疗的患者进行评估。在患侧第5肋间用24法式胸管进行胸廓造口术之前，先对胸腔进行指诊探查，试图发现胸内损伤。
在六个月期间，因胸部创伤（11例钝性创伤和25例刺伤所致穿透性创伤）共放置了36根胸管。3例患者在指诊探查中有阳性发现，这促使进行了其他诊断或治疗程序。
手指胸廓切开术不被视为一种正式的手术，而是作为一项技术的一部分，其中在插入胸管前先用手指进行探查，有助于明确胸腔情况的诊断、证实怀疑、调整治疗方式，并避免给患者带来更高的发病率。
