Durai Rajaraman, Hoque Happy, Davies Tony W
University Hospital Lewisham, London, UK.
AORN J. 2010 Feb;91(2):275-80; quiz 281-3. doi: 10.1016/j.aorn.2009.09.026.
Intercostal drainage tubes (ie, chest tubes) are inserted to drain the pleural cavity of air, blood, pus, or lymph. The water-seal container connected to the chest tube allows one-way movement of air and liquid from the pleural cavity. The container should not be changed unless it is full, and the chest tube should not be clamped unnecessarily. After a chest tube is inserted, a nurse trained in chest-tube management is responsible for managing the chest tube and drainage system. This entails monitoring the chest-tube position, controlling fluid evacuation, identifying when to change or empty the containers, and caring for the tube and drainage system during patient transport. This article provides an overview of indications, insertion techniques, and management of chest tubes.
肋间引流管（即胸管）用于排出胸膜腔内的空气、血液、脓液或淋巴液。连接胸管的水封容器允许空气和液体从胸膜腔单向移动。除非容器已满，否则不应更换，并且胸管不应不必要地夹闭。插入胸管后，经过胸管管理培训的护士负责管理胸管和引流系统。这包括监测胸管位置、控制液体排出、确定何时更换或清空容器以及在患者转运期间护理胸管和引流系统。本文概述了胸管的适应证、插入技术和管理。
