计算机断层扫描检测钝性胸部创伤中血胸的管理：计算机断层扫描测量结果说明了什么？
Management of computed tomography scan detected hemothorax in blunt chest trauma: What computed tomography scan measurements say?
作者信息
Malekpour Mahdi, Widom Kenneth, Dove James, Blansfield Joseph, Shabahang Mohsen, Torres Denise, Wild Jeffrey L
机构信息
Department of Surgery, Section of Trauma and Acute Care Surgery, Geisinger Medical Center, Danville, PA 17822, United States.
出版信息
World J Radiol. 2018 Dec 28;10(12):184-189. doi: 10.4329/wjr.v10.i12.184.
AIM
To investigate the hemothorax size for which tube thoracostomy is necessary.
METHODS
Over a 5-year period, we included all patients who were admitted with blunt chest trauma to our level 1 trauma center. Focus was placed on identifying the hemothorax size requiring tube thoracostomy.
RESULTS
A total number of 274 hemothoraces were studied. All patients with hemothoraces measuring above 3 cm received a chest tube. The 50% predicted probability of tube thoracostomy was 2 cm. Pneumothorax was associated with odds of receiving tube thoracostomy for hemothoraces below 2 cm (Odds Ratio: 4.967, 95%CI: 2.225-11.097, < 0.0001).
CONCLUSION
All patients with a hemothorax size greater than 3% underwent tube thoracostomy. Prospective studies are warranted to elucidate the clinical outcome of patients with smaller hemothoraces.
目的
探讨需要进行胸腔闭式引流术的血胸大小。
方法
在5年期间，我们纳入了所有因钝性胸部创伤入住我们一级创伤中心的患者。重点是确定需要进行胸腔闭式引流术的血胸大小。
结果
共研究了274例血胸。所有血胸量超过3 cm的患者均接受了胸腔闭式引流管置入。胸腔闭式引流术的预测概率为50%时对应的血胸量为2 cm。气胸与血胸量小于2 cm时接受胸腔闭式引流术的几率相关（比值比：4.967，95%置信区间：2.225 - 11.097，P < 0.0001）。
结论
所有血胸量大于3%的患者均接受了胸腔闭式引流术。有必要进行前瞻性研究以阐明血胸量较小患者的临床结局。
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