• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Prehospital emergency care >Needle thoracostomy for tension pneumothorax: failure predicted by chest computed tomography.
【24h】

Needle thoracostomy for tension pneumothorax: failure predicted by chest computed tomography.

机译：针头胸腔切开术治疗张力性气胸：胸部计算机断层扫描预测失败。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: Tension pneumothorax can lead to cardiovascular collapse and death. In the prehospital setting, needle thoracostomy for emergent decompression may be lifesaving. Taught throughout the United States to emergency medical technicians (EMTs) and physicians, the true efficacy of this procedure is unknown. Some question the utility of this procedure in the prehospital setting, doubting that the needle actually enters the pleural space. This study was designed to determine if needle decompression of a suspected tension pneumothorax would access the pleural cavity as predicted by chest computed tomography (CT). METHODS: We retrospectively reviewed consecutive adult trauma patients admitted to a level I trauma center between January and March 2005. We measured chest wall depth at the second intercostal space, midclavicular line on CT scans. Data on chest wall thickness were compared with the standard 4.4-cm angiocatheter used for needle decompression. RESULTS: Data from 110 patients were analyzed. The mean age of the patients was 43.5 years. The mean chest wall depth on the right was 4.5 cm (+/- 1.5 cm) and on the left was 4.1 cm (+/- 1.4 cm). Fifty-five of 110 patients had at least one side of the chest wall measuring greater than 4.4 cm. CONCLUSIONS: The standard 4.4-cm angiocatheter is likely to be unsuccessful in 50% (95% confidence interval = 40.7-59.3%) of trauma patients on the basis of body habitus. In light of its low predicted success, the standard method for treatment of tension pneumothorax by prehospital personnel deserves further consideration.
机译：目的：张力性气胸可导致心血管衰竭和死亡。在院前环境中，进行紧急减压的针头胸腔切开术可能会挽救生命。在全美范围内，急诊医疗技术人员（EMT）和医生都受教，该手术的真正功效尚不清楚。有人质疑这种方法在院前环境中的效用，怀疑针头实际上进入了胸膜腔。这项研究旨在确定可疑张力性气胸的针头减压是否会如胸部计算机断层扫描（CT）所预测的那样进入胸膜腔。方法：我们回顾性回顾了2005年1月至2005年3月在I级创伤中心住院的成年连续创伤患者。我们在CT扫描中测量了第二肋间隙，锁骨中线的胸壁深度。将胸壁厚度的数据与用于针头减压的标准4.4厘米血管导管进行比较。结果：分析了110例患者的数据。患者的平均年龄为43.5岁。右侧的平均胸壁深度为4.5厘米（+/- 1.5厘米），左侧为4.1厘米（+/- 1.4厘米）。 110名患者中有55名的胸壁至少一侧大于4.4厘米。结论：根据身体习惯，在50％（95％置信区间= 40.7-59.3％）的创伤患者中，标准的4.4厘米血管导管可能不成功。鉴于其成功率较低，院前人员治疗张力性气胸的标准方法值得进一步考虑。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号