Johnson J F, Wright D R
Department of Radiology, Children's Hospital Medical Center, Cincinnati, OH 45229-2899.
J Pediatr Surg. 1990 Dec;25(12):1227-30. doi: 10.1016/0022-3468(90)90511-7.
The two major acute thoracic complications of closed chest tube thoracostomy are pulmonary laceration and vascular compression. We have noted that closed chest tube thoracostomy can also perforate an esophageal anastomosis or myotomy site. Clinically, such a perforation produces a profuse discharge of gas and/or fluid through a chest tube positioned at the level of the anastomosis or myotomy site. Plain films demonstrate an accumulation of extrapleural gas and/or fluid adjacent to the distal portion of the chest tube. If untreated, these accumulations may form into an extrapleural abscess.
闭合式胸腔闭式引流术的两大主要急性胸部并发症是肺撕裂伤和血管受压。我们注意到，闭合式胸腔闭式引流术也可能会穿透食管吻合口或肌切开部位。临床上，这种穿孔会导致气体和/或液体通过位于吻合口或肌切开部位水平的胸腔引流管大量排出。X线平片显示胸腔引流管远端附近有胸膜外气体和/或液体积聚。如果不进行治疗，这些积聚会形成胸膜外脓肿。
