Millikan J S, Moore E E, Steiner E, Aragon G E, Van Way C W
Am J Surg. 1980 Dec;140(6):738-41. doi: 10.1016/0002-9610(80)90107-5.
Closed tube thoracostomy is a common and very useful procedure in therapy of acute thoracic injury. However, it is not without risk. With aggressive use of this procedure in the emergency department, the incidence of technical complications was 1 percent. Our review suggests that complications can be further diminished by the routine use of large thoracostomy tubes that are placed well up on the chest after confirmation of an open pleural space, by avoiding the use of a trocar for tube placement, and by the use of a high volume, low pressure suction system. Empyema was the most common complication associated with tube thoracostomy after trauma. It occurred in 2.4 percent of the patients. Its exact causes is not known, and the role of prophylactic antibiotics needs to be established.
闭式胸腔引流术是治疗急性胸部损伤的一种常见且非常有用的方法。然而，它并非没有风险。在急诊科积极使用该方法时，技术并发症的发生率为1%。我们的综述表明，通过在确认胸膜腔开放后常规使用置于胸部上方的大口径胸腔引流管、避免使用套管针置管以及使用高容量、低压力吸引系统，并发症可进一步减少。脓胸是创伤后胸腔引流术最常见的并发症。它发生在2.4%的患者中。其确切原因尚不清楚，预防性抗生素的作用需要确定。
