Monaghan Sean F, Swan Kenneth G
University of Medicine and Dentistry of New Jersey, Department of Surgery, UMDNJ/New Jersey Medical School, Newark, New Jersey, USA.
Ann Thorac Surg. 2008 Dec;86(6):2019-22. doi: 10.1016/j.athoracsur.2008.08.006.
Tube thoracostomy for thoracic injuries has been standard for only the last 40 years. Its theoretic roots trace back to World War II, where the goal of treatment was restoration of intrathoracic organ function. Thoracentesis was used to evacuate the hemopneumothorax resulting from chest trauma and that compromised pulmonary function. Experience gained in military and civilian hospitals contributed to the development of tube thoracostomy as an alternative treatment for patients with chest trauma. Progress stalled due to technologic problems and unacceptable complications associated with tube thoracostomy use during the Korean War. Technology improved, however, as did the success of thoracostomy, and it eventually become the standard of care, first in the civilian community and, ultimately, in the Vietnam War.
胸腔闭式引流术用于治疗胸部损伤仅在过去40年才成为标准治疗方法。其理论根源可追溯到第二次世界大战，当时的治疗目标是恢复胸腔内器官功能。胸腔穿刺术用于排出胸部创伤导致的血气胸，这种血气胸会损害肺功能。在军事医院和民用医院积累的经验推动了胸腔闭式引流术的发展，使其成为胸部创伤患者的一种替代治疗方法。由于技术问题以及朝鲜战争期间使用胸腔闭式引流术出现的不可接受的并发症，进展停滞不前。然而，随着技术的改进，胸腔闭式引流术的成功率也提高了，它最终成为了护理标准，首先在民用社区，最终在越南战争中也是如此。
