Gillmore D, McSwain N E, Browder I W
J Trauma. 1987 Aug;27(8):898-902.
Whether drains should be used in the management of hepatic wounds has been a subject of controversy since 1970. A limited retrospective review of 13 patient charts disclosed an intra-abdominal abscess rate of 23% with Penrose drains. Prospective analysis of 56 patients who qualified for inclusion in a closed-drain versus no-drain study showed a 4.2% and 3.1% intra-abdominal abscess rate, respectively. Results of this study indicate that the use of closed-drainage versus no-drainage should remain the surgeon's choice, depending on evaluation of related factors. In hepatic injury, however, open drainage should not be used.
自1970年以来，肝损伤处理中是否应放置引流管一直存在争议。对13份患者病历进行的有限回顾性分析显示，使用彭罗斯引流管时腹腔内脓肿发生率为23%。对56例符合纳入封闭引流与不引流研究条件的患者进行的前瞻性分析显示，腹腔内脓肿发生率分别为4.2%和3.1%。本研究结果表明，根据相关因素评估，封闭引流与不引流的选择应由外科医生决定。然而，在肝损伤中不应使用开放引流。
