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胸腔内但胸膜外放置胸管；创伤情况下胸管位置异常的罕见病例。

Intrathoracic but extra-pleural chest tube placement; an unusual case of chest tube malposition in the trauma setting.

作者信息

Roberts Jessica D, Groombridge Christopher, Fitzgerald Mark

机构信息

Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia.

National Trauma Research Institute, Alfred Health, Melbourne, Australia.

出版信息

Trauma Case Rep. 2021 Mar 17;32:100461. doi: 10.1016/j.tcr.2021.100461. eCollection 2021 Apr.

DOI:10.1016/j.tcr.2021.100461
PMID:33816744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8005847/
Abstract

We present the case of a 20-year-old male who was transferred to our Major Trauma Centre following a high-speed motor vehicle rollover. He arrived intubated with a right sided ICC in place. On arrival we elected to replace this ICC due to concerns regarding a superficial position, however 24 h after replacement, a large right sided pneumothorax developed. We suspect that both the pre-hospital ICC, as well as the ICC which we replaced it with, were unusually sited in the intrathoracic but extrapleural position.

摘要

我们报告一例20岁男性患者，其在高速机动车翻车事故后被转送至我们的重大创伤中心。他到达时已插管，右侧置入了中心静脉导管（ICC）。由于担心其位置表浅，我们到达后决定更换该ICC，然而更换后24小时，右侧出现了大量气胸。我们怀疑院前置入的ICC以及我们更换的ICC均异常位于胸腔内但胸膜外的位置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/245757106f87/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/7661f06b3c0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/dd5f72c91ac9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/245757106f87/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/7661f06b3c0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/dd5f72c91ac9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5e/8005847/245757106f87/gr3.jpg

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Trauma Case Rep. 2021 Mar 17;32:100461. doi: 10.1016/j.tcr.2021.100461. eCollection 2021 Apr.
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本文引用的文献

1
Unusual Malposition of a Chest Tube, Intrathoracic but Extrapleural.胸管的异常位置，位于胸腔内但在胸膜外。
Case Rep Radiol. 2018 Aug 6;2018:8129341. doi: 10.1155/2018/8129341. eCollection 2018.
2
Clinical consequences of chest tube malposition in trauma resuscitation: single-center experience.创伤复苏中胸腔引流管位置不当的临床后果：单中心经验。
Eur J Trauma Emerg Surg. 2019 Aug;45(4):687-695. doi: 10.1007/s00068-018-0966-z. Epub 2018 May 31.
3
Pleural decompression and drainage during trauma reception and resuscitation.
创伤接诊与复苏过程中的胸腔减压与引流
Injury. 2008 Jan;39(1):9-20. doi: 10.1016/j.injury.2007.07.021.
4
Incidence of chest tube malposition in the critically ill: a prospective computed tomography study.危重症患者胸管位置异常的发生率：一项前瞻性计算机断层扫描研究。
Anesthesiology. 2007 Jun;106(6):1112-9. doi: 10.1097/01.anes.0000267594.80368.01.