کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4299244 1288385 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Thoracic irrigation prevents retained hemothorax: a pilot study
ترجمه فارسی عنوان
آبیاری تورا از مانع نگه داشتن هموراژاکس جلوگیری می کند: یک مطالعه آزمایشی
کلمات کلیدی
لوله سینه، لوله توراکوستومی، آبیاری تناسلی، لارو پلورال، هماتوراکس مجزا، هموتوراکس
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundUpward of 20% of patients undergoing thoracostomy tube (TT) placement develop retained hemothorax (HTx) requiring secondary intervention. The aim of this study was to define the rate of secondary intervention in patients undergoing prophylactic thoracic irrigation.MethodsA prospective observational trial of 20 patients who underwent thoracic irrigation at the time of TT placement was conducted. Patients with HTx identified on chest x-ray were included. After standard placement of a 36-French TT, the HTx was evacuated using a sterile suction catheter advanced within the TT. Warmed sterile saline was instilled into the chest through the TT followed by suction catheter evacuation. The TT was connected to the sterile drainage atrium and suction applied. TTs were managed in accordance with our standard division protocol.ResultsThe population was predominantly (70%) male at median age 35 years, median ISS 13, with 55% suffering penetrating trauma. Thirteen (65%) patients underwent TT placement within 6 h of trauma with the remainder within 24 h. Nineteen patients received the full 1000-mL irrigation. The majority demonstrated significant improvement on postprocedure chest x-ray. The secondary intervention rate was 5%. A single patient required VATS on post-trauma day zero for retained HTx. Median TT duration was 5 d with median length of stay of 7 d. No adverse events related to the pleural lavage were noted.ConclusionsThoracic irrigation at the time of TT placement for traumatic HTx may decrease the rate of retained HTx.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Surgical Research - Volume 202, Issue 2, 15 May 2016, Pages 443–448
نویسندگان
, , ,