Adegboye V O, Adebo O A, Osinowo O, Brimmo I A
Department of Surgery, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 1996 Dec;25(4):353-5.
Six hundred and eighty-five patients requiring pleural drainage were referred to and managed by the Cardiothoracic Unit of the University College Hospital, Ibadan between June 1985 and September 1992. Two hundred patients, in which Aldon's urobag (e.g. Simpla S4 type) was used for pleural drainage were studied. The indications for pleural drainage were pyothorax or pyopneumothorax (106 patients), malignant pleural effusion (53 patients), tuberculous effusions (23 patients) and chest trauma (18 patients). In seven of these patients, the Aldon's urobag was used for out-patient care pleural drainage. Some of the reasons for discontinuing its use were major tracheobronchial injuries (2 patients), clotted haemothorax (5 patients), chronic empyema thoracis (10 patients) and loculated malignant pleural effusions. The few easily surmountable complications encountered were obstruction of the tube by blood clot and fibrinous coagulate, stoma necrosis and periosteal reaction. The advantages observed from the use of Aldon's urobag for pleural drainage were reduction in cost of pleural drainage, availability of this drainage system and its use for out-patient care when indicated.
1985年6月至1992年9月期间，685例需要进行胸腔引流的患者被转诊至伊巴丹大学学院医院心胸外科并接受治疗。对其中200例使用阿尔登尿袋（如Simpla S4型）进行胸腔引流的患者进行了研究。胸腔引流的适应证包括脓胸或脓气胸（106例患者）、恶性胸腔积液（53例患者）、结核性胸腔积液（23例患者）和胸部创伤（18例患者）。在这些患者中，有7例使用阿尔登尿袋进行门诊胸腔引流。停用该尿袋的一些原因包括严重气管支气管损伤（2例患者）、凝固性血胸（5例患者）、慢性脓胸（10例患者）和局限性恶性胸腔积液。遇到的少数易于克服的并发症包括血凝块和纤维蛋白凝块阻塞引流管、造口坏死和骨膜反应。使用阿尔登尿袋进行胸腔引流观察到的优点包括降低胸腔引流成本、该引流系统的可获得性以及在有指征时用于门诊治疗。
