尺寸为何重要：胸膜腔管理观念的转变——细孔胸腔导管的兴起
When size matters: changing opinion in the management of pleural space-the rise of small-bore pleural catheters.
作者信息
Filosso Pier Luigi, Sandri Alberto, Guerrera Francesco, Ferraris Andrea, Marchisio Filippo, Bora Giulia, Costardi Lorena, Solidoro Paolo, Ruffini Enrico, Oliaro Alberto
机构信息
Department of Thoracic Surgery, University of Torino Italy, Corso Dogliotti, 14 10126 Torino, Italy ;
Service of Radiology, University of Torino Italy, Via Genova, 3 10126 Torino, Italy ;
出版信息
J Thorac Dis. 2016 Jul;8(7):E503-10. doi: 10.21037/jtd.2016.06.25.
Abstract
Tube thoracostomy is usually the first step to treat several thoracic/pleural conditions such as pneumothorax, pleural effusions, haemothorax, haemo-pneumothorax and empyema. Today, a wide range of drains is available, ranging from small to large bore ones. Indications for an appropriate selection remains yet matter of debate, especially regarding the use of small bore catheters. Through this paper, we aimed to retrace the improvements of drains through the years and to review the current clinical indications for chest drain placement in pleural/thoracic diseases, comparing the effectiveness of small-bore drains vs. large-bore ones.
摘要
胸腔闭式引流术通常是治疗多种胸/胸膜疾病（如气胸、胸腔积液、血胸、血气胸和脓胸）的第一步。如今，有各种各样的引流管可供选择，从小口径到大口径的都有。选择合适引流管的指征仍是一个有争议的问题，尤其是关于小口径导管的使用。通过本文，我们旨在回顾多年来引流管的改进情况，并综述目前胸膜/胸部疾病中胸腔引流管置入的临床指征，比较小口径引流管与大口径引流管的有效性。
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