Shi Hui, Mei Longyong, Che Guowei
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2010 Nov;13(11):999-1003. doi: 10.3779/j.issn.1009-3419.2010.11.01.
It is widely accepted by most thoracic surgeons that a complete control on fluid and air in the pleural space could only be maintained by conventional closed chest drainage (two chest tubes). With the development of medical models and devices in pneumonectomy, the validity of this concept is being questioned. In this review, we summarized that: the current situation and problems of closed chest drainage; the advantage and disadvantage of water seal with or without suction on chest drainage; and the advances and contradiction of single chest tube drainage after pneumonectomy.
大多数胸外科医生普遍认为，只有通过传统的闭式胸腔引流（两根胸管）才能完全控制胸腔内的液体和气体。随着肺切除术医学模式和设备的发展，这一概念的有效性正受到质疑。在本综述中，我们总结了：闭式胸腔引流的现状和问题；胸腔引流中带或不带负压吸引的水封的优缺点；以及肺切除术后单根胸管引流的进展和矛盾之处。
