{"title":"胸管错位的可能原因","authors":"Hyung Il Kim","doi":"10.24184/tip.2023.8.1.8","DOIUrl":null,"url":null,"abstract":"Tube thoracostomy is one of the essential skills for physicians. However, tube malposition is a common issue, and little is known about the reasons for malposition or the underlying mechanism. This report presents a case of tube malposition with an identifiable cause. A patient with traumatic cardiac arrest and severe chest injury was transported. Bilateral thoracostomy was performed because of tension pneumothorax, and 400 mL of blood was drained from the left tube. However, while securing the tube, it was pushed out by 3–4 cm before complete fixation. The tube was advanced back in further without retrying the tube placement. However, postmortem chest X-ray imaging revealed the malposition of the left tube. The only reason for malposition in this patient was the advancement of the pulled-out tube without replacement. To reduce the rate of tube malposition, it is necessary to reinsert the tube rather than advancing the pulled-out tube.","PeriodicalId":224399,"journal":{"name":"Trauma Image and Procedure","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A possible cause of chest tube malposition\",\"authors\":\"Hyung Il Kim\",\"doi\":\"10.24184/tip.2023.8.1.8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Tube thoracostomy is one of the essential skills for physicians. However, tube malposition is a common issue, and little is known about the reasons for malposition or the underlying mechanism. This report presents a case of tube malposition with an identifiable cause. A patient with traumatic cardiac arrest and severe chest injury was transported. Bilateral thoracostomy was performed because of tension pneumothorax, and 400 mL of blood was drained from the left tube. However, while securing the tube, it was pushed out by 3–4 cm before complete fixation. The tube was advanced back in further without retrying the tube placement. However, postmortem chest X-ray imaging revealed the malposition of the left tube. The only reason for malposition in this patient was the advancement of the pulled-out tube without replacement. To reduce the rate of tube malposition, it is necessary to reinsert the tube rather than advancing the pulled-out tube.\",\"PeriodicalId\":224399,\"journal\":{\"name\":\"Trauma Image and Procedure\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Trauma Image and Procedure\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24184/tip.2023.8.1.8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trauma Image and Procedure","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24184/tip.2023.8.1.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
管道胸腔造口术是医生的基本技能之一。然而,插管错位是一个常见问题,人们对错位的原因或潜在机制知之甚少。本报告介绍了一例原因明确的插管错位病例。患者因创伤性心脏骤停和严重胸部损伤被送往医院。因张力性气胸而进行了双侧胸腔造口术,并从左侧插管中引流出 400 毫升血液。然而,在固定插管时,插管在完全固定前被推出了 3-4 厘米。在没有重新尝试插管的情况下,插管又被推了回去。然而,死后胸部 X 光成像显示左侧插管位置不正。该患者插管位置不正的唯一原因是将拔出的插管推进后没有更换。为了降低插管错位率,有必要重新插入插管,而不是推进拔出的插管。
Tube thoracostomy is one of the essential skills for physicians. However, tube malposition is a common issue, and little is known about the reasons for malposition or the underlying mechanism. This report presents a case of tube malposition with an identifiable cause. A patient with traumatic cardiac arrest and severe chest injury was transported. Bilateral thoracostomy was performed because of tension pneumothorax, and 400 mL of blood was drained from the left tube. However, while securing the tube, it was pushed out by 3–4 cm before complete fixation. The tube was advanced back in further without retrying the tube placement. However, postmortem chest X-ray imaging revealed the malposition of the left tube. The only reason for malposition in this patient was the advancement of the pulled-out tube without replacement. To reduce the rate of tube malposition, it is necessary to reinsert the tube rather than advancing the pulled-out tube.