Daly R C, Mucha P, Pairolero P C, Farnell M B
Ann Emerg Med. 1985 Sep;14(9):865-70. doi: 10.1016/s0196-0644(85)80635-1.
Analysis of 164 percutaneous chest tube thoracostomies performed as a standardized technical procedure in the management of 129 blunt trauma victims demonstrated an overall complication rate of 9.1% (15 of 164). Three complications (1.8%) were related to problems of insertion, and four (2.4%) represented the problem of pneumothorax after chest tube removal. The remaining eight complications (4.9%) were associated with positive bacterial cultures, two (1.2%) of which represented clinical empyema. Both cases of empyema had either prolonged chest tube placement (23 and 15 days) or multiple chest tubes (two and three) on the same side. Percutaneous chest tube thoracostomy remains an important facet in the management of certain types of blunt thoracic trauma. Associated risks can best be minimized with adherence to a standardized technique and management protocol.
对129名钝性创伤患者进行标准化技术操作的164例经皮胸腔闭式引流术分析显示，总体并发症发生率为9.1%（164例中的15例）。3例并发症（1.8%）与置管问题有关，4例（2.4%）表现为拔管后气胸问题。其余8例并发症（4.9%）与细菌培养阳性有关，其中2例（1.2%）为临床脓胸。这2例脓胸患者均有胸腔闭式引流管放置时间延长（23天和15天）或同侧放置多根胸腔闭式引流管（2根和3根）的情况。经皮胸腔闭式引流术仍然是某些类型钝性胸部创伤治疗中的一个重要方面。通过遵循标准化技术和管理方案，可以最好地将相关风险降至最低。
