Clarke J M
Surg Gynecol Obstet. 1984 Dec;159(6):586-8.
Thoracentesis is a commonly performed procedure. Standard techniques have been generally acceptable, but there are occasional serious complications requiring additional treatment and operative procedures. Attempts at near complete aspiration of fluid are often unsuccessful and time consuming with the currently used methods. The change from a sharp needle technique to an intravenous catheter technique has been an improvement, but creates the additional difficulty of briefly exposing the pleural space to atmospheric pressure. Also, blunt end catheters without sideholes may produce incomplete evacuation of fluid, and some intravenous catheters have been cut off and retained in the pleural space. The new instrument described has produced excellent results in a small clinical series. It has effectively overcome the disadvantages of both the standard needle technique and the more current intravenous catheter techniques. The time spent on thoracentesis has been considerably shortened, an advantage for both the patient and the physician alike.
胸腔穿刺术是一种常用的操作。标准技术通常是可以接受的，但偶尔会出现严重并发症，需要额外的治疗和手术操作。使用当前方法试图近乎完全抽吸出液体往往不成功且耗时。从锐针技术转变为静脉导管技术是一种改进，但会带来将胸膜腔短暂暴露于大气压的额外困难。此外，无侧孔的钝头导管可能无法完全排出液体，并且一些静脉导管已被切断并留在胸膜腔内。所描述的新器械在一个小型临床系列中取得了优异的效果。它有效地克服了标准针技术和当前静脉导管技术的缺点。胸腔穿刺术所花费的时间已大幅缩短，这对患者和医生来说都是一个优势。
