Chest Tube Complications | 合法醫療器材資訊網

2017年6月1日—Inaspontaneouspneumothorax,aleakfromthelungallowsairtoenterthenegativepressurepleuralspaceuntilthereisnolongerapressure ...

A 30-year-old woman with a history of cystic fibrosis was admitted to the hospital for management of a spontaneous left pneumothorax (collapse of her lung). She required urgent thoracostomy (chest tube) placement in the emergency department. The chest tube was connected to wall suction in order to promote reexpansion of her lung.

Over the next 2 days, the patient improved, and repeat imaging showed reexpansion of her lung. The consulting pulmonary team felt that the chest tube might be able to be removed, so they requested that the tube be disconnected from suction and clamped. The plan was to obtain a chest radiograph 1 hour after clamping the tube, and if the pneumothorax had not recurred, the tube would be removed.

About 45 minutes after the tube was clamped, the patient complained of acute, sharp pain radiating to her left arm. The nurse gave the patient pain medicati...