McGrath Ellen, Ranstrom Lee, Lajoie Debra, McGlynn Lauren, Mooney David
J Pediatr Health Care. 2017 Sep-Oct;31(5):588-593. doi: 10.1016/j.pedhc.2017.04.014. Epub 2017 Jun 16.
Our objective was to determine the clinical value of obtaining a chest radiograph after removal of a chest tube. We conducted a retrospective chart review of pediatric general surgical patients with a chest tube in place after a thoracic procedure over a 3-year time period. Postremoval films were considered to be of value if they led to a change in clinical management. Of 468 patients who had a thoracic procedure, 281 patients had a chest tube and a postremoval film. In 263 patients (93.6%) there was no change in the postremoval film result compared with baseline. Only two patients (0.7%) required an intervention based on symptoms, not based on the postremoval film. Eliminating routine postremoval radiographs after chest tube removal in pediatric patients will lessen radiation exposure and provide cost savings with no adverse impact on outcome.
我们的目的是确定拔除胸管后进行胸部X线检查的临床价值。我们对3年间接受胸科手术后留置胸管的小儿普通外科患者进行了回顾性病历审查。如果拔除胸管后的胸片能导致临床管理的改变，则认为其具有价值。在468例接受胸科手术的患者中，281例患者留置了胸管并进行了拔除胸管后的胸片检查。与基线相比，263例患者（93.6%）拔除胸管后的胸片结果无变化。只有2例患者（0.7%）需要根据症状而非拔除胸管后的胸片进行干预。在小儿患者拔除胸管后取消常规的拔除后X线检查将减少辐射暴露并节省成本，且对结果无不利影响。
