The Pigtail Catheter’s Drainage in Localized Traumatic Hemothoraxes

이석기1, 류상완1, 오형우2

조선대학교 의과대학 조선대학교병원 흉부외과학교실1, 조선대학교병원 영상의학과2

Background : The delayed and localized traumatic hemothorax without fluid shifting in lateral decubitus film was sometimes happened, and then it was difficult to drainage properly in traditional chest tubings. It made them be operated or inserted another chest tube. We evaluated how much efficient was the pigtail catheter’s drainage in them.

Methods : From July 2013 to Jun 2014, traumatic hemothoraxes that were delayed and localized in no fluid shifting on chest lateral decubitus film were enrolled to our hospital. Their outcome were pigtail catheter’s site’s pain, as assessed by a numerical rating scale(NRS), injury severity score(ISS), chest AIS(abbreviated injury scale), time & duration of pigtail catheter’s insertion, the initial & total drainage of bleeding in pigtail catheter and inserted-related complications.

Results : A total of 14 patients received the pigtail catheter’s insertion in the delay and localized traumatic hemothoraxes. The mean age was 59.2±14.0. The mean NRS of pigtail catheter’s site at first 3 days was 5.3±2.2. Their ISS and chest AIS was 8.4±2.6 and 3. The time inserted pigtail catheter was 4.5±2.3 days, and then the initial & total amount of pigtail catheter was 421.3±134.1m and 924.7±325.2ml. The inserted-related complication was none.

Conclusion : For patients with the delayed and localized traumatic hemothoraxes, inserted pigtail catheter was safely accomplished removed them. We recommend that it was one of options to treat them.

책임저자: 이석기

조선대학교 의과대학 조선대학교병원 흉부외과학교실

연락처 : 이석기, Tel: 062-220-3160 , E-mail : chcs@chosun.ac.kr