Nemoto S, Harada M, Oshitomi T
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Weman's Medical College.
Kyobu Geka. 1995 May;48(5):372-4.
Increased chest drainage, a higher incidence of pleural effusions in the postoperative period, and more chest tube drainage was found after harvesting the internal thoracic artery (ITA). Patients with these complications required thoracocentesis, or prolonged chest tube drainage. But these methods may be painful and make a limitation to activity of daily life (ADL) in these patients. We therefore sought an effective procedure for these patients, and applied pleural placement of intravenous hyperalimentation catheter. This technique could drain the effusion completely, conveniently and painlessly without a limitation to ADL. Pneumothorax, infections and other complications occurred in no patients. We concluded that this method might be useful in these patients with prolonged post operative pleural effusion after harvesting the ITA who have failed other modes of therapy.
在获取胸廓内动脉（ITA）后，发现胸腔引流量增加、术后胸腔积液发生率更高以及胸腔闭式引流量更多。出现这些并发症的患者需要进行胸腔穿刺或延长胸腔闭式引流时间。但这些方法可能会很痛苦，并且限制了这些患者的日常生活活动（ADL）。因此，我们为这些患者寻找一种有效的方法，并采用了胸腔内放置静脉高营养导管的方法。该技术可以完全、方便且无痛地引流胸腔积液，而不会限制ADL。没有患者发生气胸、感染及其他并发症。我们得出结论，对于那些在获取ITA后出现术后胸腔积液延长且其他治疗方式无效的患者，这种方法可能有用。
