Delius R E, Obeid F N, Horst H M, Sorensen V J, Fath J J, Bivins B A
Division of Trauma and Critical Care Surgery, Henry Ford Hospital, Detroit, MI 48202.
Arch Surg. 1989 Jul;124(7):833-6. doi: 10.1001/archsurg.1989.01410070091018.
Between 1983 and 1987, 114 adult patients with 131 pneumothoraces were treated utilizing catheter aspiration for simple pneumothorax as an alternative to tube thoracostomy. The causes of simple pneumothorax were as follows: 79 needle-induced, 36 spontaneous, and 16 traumatic. Thirty-eight of the pneumothoraces were small (less than 20% of volume), 55 were moderate (20% to 40% of volume), 36 were large (greater than 40% of volume), and 2 were of unknown size. Overall, catheter aspiration for simple pneumothorax was successful in 90 patients (69%). The success rate was 75% with needle-induced, 53% with spontaneous, and 75% with traumatic pneumothoraces. Small pneumothoraces were successfully managed with catheter aspiration for simple pneumothorax in 87% of patients, moderate-sized in 60%, and large in 61%. There were three complications (2.3%), including one hemothorax and two retained sheared catheter tips. The average cost per patient was +868 for catheter aspiration, and $6402 for a tube thoracostomy. These data support catheter aspiration as a safe, cost-effective, and successful technique for managing simple pneumothorax.
1983年至1987年间，114例患有131处气胸的成年患者接受了导管抽吸治疗单纯性气胸，以此作为胸腔闭式引流术的替代方法。单纯性气胸的病因如下：79例为针刺引起，36例为自发性，16例为外伤性。其中38处气胸较小（占胸腔容积不到20%），55处为中等大小（占胸腔容积20%至40%），36处为大的气胸（占胸腔容积超过40%），2处气胸大小不明。总体而言，单纯性气胸导管抽吸治疗成功的患者有90例（69%）。针刺引起的气胸成功率为75%，自发性气胸为53%，外伤性气胸为75%。小的气胸采用单纯性气胸导管抽吸治疗，87%的患者成功，中等大小的气胸成功率为60%，大的气胸成功率为61%。出现了3例并发症（2.3%），包括1例血胸和2例残留剪断的导管尖端。导管抽吸每位患者的平均费用为868美元，胸腔闭式引流术为6402美元。这些数据支持导管抽吸作为治疗单纯性气胸的一种安全、经济有效且成功的技术。
