55例肺癌根治术后单根细胸管引流分析

Single fine chest tube drainage after radical surgery of lung cancer: analysis of 55 cases

目的探讨肺癌根治术后单根F-28号细胸腔引流管由腋中线第7肋间置入至胸顶引流的可行性。方法观察55例肺叶切除加淋巴结清扫术后病人的引流量、拔管时间及病人对带胸管的耐受性。结果 55例中拔管时间没有延长,肺癌术后病人对细胸管胸顶置入耐受良好,未出现因胸管局部疼痛注射杜冷丁和拔管后再穿刺抽胸水病例。结论 F-28号细引流管置入至胸顶引流对于肺癌术后患者是一种安全、可靠、损伤较小的胸管置入方法。

Objective To explore the feasibility of thoracic drainage by using a single fine F-28 style chest tube inserted from the 7th intercostal at axillary line to the chest top after the lobectomy and lymph node dissection of lung cancer .Methods The drainage volume , the time with the chest tube and the tolerance to it were observed in 55 patients after the lobectomy and lymph node dissection of lung cancer .Results In 55 patients, there was no exten-sion of the time with the chest tube and the tolerance to the chest tube was better .There was neither patient who need pethidine injection when chest pain localized and nor patient who need again puncturing for pleural drainage .Conclu-sion The method of thoracic drainage by using one single fine F-28 style chest tube inserted from the 7th intercostal at axillary line to the chest top is a safe , reliable technique with less damage to patients after radical surgery of lung cancer.