胸壁厚度可能会限制经针胸腔穿刺术对张力性气胸的充分引流。
Chest wall thickness may limit adequate drainage of tension pneumothorax by needle thoracocentesis.
作者信息
Britten S, Palmer S H
机构信息
Royal United Hospital, Bath, United Kingdom.
出版信息
J Accid Emerg Med. 1996 Nov;13(6):426-7. doi: 10.1136/emj.13.6.426.
Abstract
Tension pneumothorax in a large man was inadequately drained by needle thoracocentesis with a 4.5 cm cannula. Unsuccessful needle thoracocentesis of a clinical tension pneumothorax in a large patient should be followed immediately by chest drain insertion, without local anaesthetic, as dictated by clinical urgency. If the clinical situation is still not improved other diagnoses should be considered.
摘要
一名体型较大的男性患者发生张力性气胸，使用4.5厘米套管针进行胸腔穿刺抽气引流不充分。对于体型较大的患者，临床诊断为张力性气胸但胸腔穿刺抽气失败后，应根据临床紧急情况，立即在不使用局部麻醉的情况下插入胸腔引流管。如果临床情况仍未改善，则应考虑其他诊断。
相似文献
1
Chest wall thickness may limit adequate drainage of tension pneumothorax by needle thoracocentesis.胸壁厚度可能会限制经针胸腔穿刺术对张力性气胸的充分引流。
J Accid Emerg Med. 1996 Nov;13(6):426-7. doi: 10.1136/emj.13.6.426.
2
Needle thoracocentesis in tension pneumothorax: insufficient cannula length and potential failure.张力性气胸的针胸穿刺术：套管长度不足及潜在失败风险。
Injury. 1996 Jun;27(5):321-2. doi: 10.1016/0020-1383(96)00007-1.
3
Best evidence topic report. Chest drains in traumatic occult pneumothorax.最佳证据主题报告。创伤性隐匿性气胸的胸腔引流
Emerg Med J. 2006 Feb;23(2):138-9. doi: 10.1136/emj.2005.033449.
4
Is routine tube thoracostomy necessary after prehospital needle decompression for tension pneumothorax?在院前针式减压治疗张力性气胸后，是否需要常规进行胸腔引流管置管？
Am J Surg. 2013 Mar;205(3):329-32; discussion 332. doi: 10.1016/j.amjsurg.2013.01.004.
5
Use of Autosuture Surgiport for pleural drain insertion.使用自动缝合手术端口进行胸腔引流管置入。
Injury. 1993 Sep;24(8):538-40. doi: 10.1016/0020-1383(93)90032-2.
6
Average chest wall thickness at two anatomic locations in trauma patients.创伤患者两个解剖部位的平均胸壁厚度。
Injury. 2013 Sep;44(9):1183-5. doi: 10.1016/j.injury.2013.03.027. Epub 2013 Apr 23.
7
8
Needle thoracostomy for tension pneumothorax: failure predicted by chest computed tomography.用于张力性气胸的针胸腔造口术：胸部计算机断层扫描预测失败情况
Prehosp Emerg Care. 2009 Jan-Mar;13(1):14-7. doi: 10.1080/10903120802471998.
9
[Thoracic drainage in trauma emergencies].[创伤急救中的胸腔引流]
Minerva Chir. 1999 Oct;54(10):697-702.
10
Tube thorocostomy: management and outcome in patients with penetrating chest trauma.胸腔闭式引流术：穿透性胸部创伤患者的管理与预后
J Ayub Med Coll Abbottabad. 2008 Oct-Dec;20(4):108-11.
引用本文的文献
1
Meta-analysis of the optimal needle length and decompression site for tension pneumothorax and consensus recommendations on current ATLS and ETC guidelines.张力性气胸最佳穿刺针长度与减压部位的Meta分析及对当前ATLS和ETC指南的共识性建议
World J Emerg Surg. 2025 May 19;20(1):39. doi: 10.1186/s13017-025-00613-7.
2
Complications of needle thoracostomy: A comprehensive clinical review.针胸造口术的并发症：一项全面的临床综述。
Int J Crit Illn Inj Sci. 2015 Jul-Sep;5(3):160-9. doi: 10.4103/2229-5151.164939.
3
Needle thoracostomy for tension pneumothorax: the Israeli Defense Forces experience.用于张力性气胸的针胸造口术：以色列国防军的经验
Can J Surg. 2015 Jun;58(3 Suppl 3):S118-24. doi: 10.1503/cjs.012914.
4
Needle decompression in appalachia do obese patients need longer needles?阿巴拉契亚地区的针式减压术肥胖患者需要更长的针吗？
West J Emerg Med. 2013 Nov;14(6):650-2. doi: 10.5811/westjem.2013.7.15844.
5
Reexpansion pulmonary edema after treatment of simultaneous bilateral spontaneous tension pneumothorax.双侧同时性自发性张力性气胸治疗后复张性肺水肿
J Cardiothorac Surg. 2013 Apr 4;8:62. doi: 10.1186/1749-8090-8-62.
6
Thoracic needle decompression for tension pneumothorax: clinical correlation with catheter length.胸腔针减压治疗张力性气胸：导管长度的临床相关性。
Can J Surg. 2010 Jun;53(3):184-8.
7
The right place in the right space? Awareness of site for needle thoracocentesis.正确的部位，合适的空间？关于胸腔穿刺术部位的认识
Emerg Med J. 2005 Nov;22(11):788-9. doi: 10.1136/emj.2004.015107.
8
Tension pneumothorax--time for a re-think?张力性气胸——是时候重新思考了？
Emerg Med J. 2005 Jan;22(1):8-16. doi: 10.1136/emj.2003.010421.
Zotero 插件