胸腔引流管尺寸：争论仍在继续。
Chest Drain Size: the Debate Continues.
作者信息
Hallifax Robert J, Psallidas Ioannis, Rahman Najib M
机构信息
Oxford Centre for Respiratory Medicine, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, OX3 7LE UK.
出版信息
Curr Pulmonol Rep. 2017;6(1):26-29. doi: 10.1007/s13665-017-0162-3. Epub 2017 Jan 26.
PURPOSE OF REVIEW
Small-bore chest tubes are widely used in the management of common pleural disease. Guidelines suggest that patients with malignant pleural effusions, pneumothorax and pleural infection may be successfully managed with small-bore drains. However, good quality data is often lacking. This article reviews the evidence for the treatment efficacy and potential adverse effects of different chest tube sizes.
RECENT FINDINGS
In a large randomised study, the small difference in pain scores between large and small drains was not clinically significant. However, small-bore chest tubes commonly suffer from blockage or inadvertent removal, and may not be as effective in providing successful pleurodesis for malignant pleural effusions.
SUMMARY
Although they may be effective in managing pleural infection, and less painful than large drains, small bore drains may be less effective for pleurodesis.
综述目的
细径胸管广泛应用于常见胸膜疾病的治疗。指南表明，恶性胸腔积液、气胸和胸膜感染患者使用细径引流管可能得到成功治疗。然而，往往缺乏高质量的数据。本文综述了不同尺寸胸管治疗效果及潜在不良反应的证据。
最新发现
在一项大型随机研究中，大口径与小口径引流管在疼痛评分上的微小差异并无临床意义。然而，细径胸管常出现堵塞或意外拔除情况，且在为恶性胸腔积液成功实施胸膜固定术方面可能效果欠佳。
总结
尽管细径引流管在治疗胸膜感染方面可能有效，且比大口径引流管疼痛轻，但在胸膜固定术方面可能效果较差。
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