Conces D J, Tarver R D, Gray W C, Pearcy E A
Department of Radiology, Indiana University Medical Center, Indianapolis.
Chest. 1988 Jul;94(1):55-7. doi: 10.1378/chest.94.1.55.
Pneumothorax is a common problem in both hospitalized and emergency room patients. Eight-four pneumothoraces in 79 patients were treated using a No. 9 French catheter. In 76 cases, the catheter was attached to a flutter valve, and in eight cases, suction was applied. The No. 9 French catheter provided definitive treatment in 73 (87 percent) of the pneumothoraces. Causes of catheter failure included kinking, malposition, inadvertent removal by patient, occlusion of the tube or valve by pleural fluid, and large air leak. No complication attributable to tube placement occurred. When the flutter valve was employed, the patient was able to ambulate allowing for potential outpatient therapy. The tube was found to be easy to use, safe, and efficacious in the treatment of pneumothoraces.
气胸在住院患者和急诊患者中都是常见问题。79例患者中的84处气胸采用9号法国导管进行治疗。76例中，导管连接了单向活瓣，8例进行了抽吸。9号法国导管对73处（87%）气胸提供了确定性治疗。导管失败的原因包括扭结、位置不当、患者意外拔除、胸膜液阻塞导管或瓣膜以及大量漏气。未发生与置管相关的并发症。使用单向活瓣时，患者能够走动，从而有可能进行门诊治疗。发现该导管在气胸治疗中易于使用、安全且有效。
