Guyton S W, Paull D L, Anderson R P
Department of Surgery, Virginia Mason Medical Center, Seattle, Washington.
Am J Surg. 1988 May;155(5):693-6. doi: 10.1016/s0002-9610(88)80147-8.
Introducer insertion of a small caliber chest tube is easily mastered, fast, and nearly painless. Outpatient management of spontaneous pneumothorax with a 12 F. polyvinylchloride catheter and a Heimlich valve appears both safe and economical in a selected group of patients. Introducer chest tube insertion is well tolerated, in contrast to the discomfort experienced during insertion of chest tubes by means of blunt dissection or trocar. In addition, the high risk of injury to the lung or other viscera by trocars is avoided.
小口径胸管的引导器插入操作易于掌握，速度快，且几乎无痛。对于部分选定患者，使用12F聚氯乙烯导管和海姆利希瓣膜进行门诊自发性气胸治疗似乎既安全又经济。与通过钝性分离或套管针插入胸管时所经历的不适相比，引导器胸管插入耐受性良好。此外，还避免了套管针对肺或其他内脏造成损伤的高风险。
