Pearce S H, Rees C J, Smith R H
Department of Medicine, North Tees General Hospital, Stockton on Tees, Cleveland, UK.
Br J Clin Pract. 1995 Jan-Feb;49(1):48.
A patient is reported with spontaneous pneumothorax in whom a Horner's syndrome occurred as a complication of drainage tube thoracostomy. Ascending sympathetic fibres lie in close contact with the parietal pleura at the apex of the hemithorax and may be damaged by an inappropriately positioned thoracostomy tube. It is suggested that drainage tubes found to be sited medially at the apex of the hemithorax should be immediately repositioned to avoid this complication.
报告了一例自发性气胸患者,其在胸腔闭式引流术后出现霍纳综合征这一并发症。上行交感神经纤维在半侧胸腔顶部与壁层胸膜紧密相连,可能会因胸腔闭式引流管位置不当而受损。建议一旦发现胸腔闭式引流管位于半侧胸腔顶部内侧,应立即重新定位,以避免这一并发症。