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On-line Access: 2011-12-30

Received: 2011-05-18

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Journal of Zhejiang University SCIENCE B 2012 Vol.13 No.1 P.43-48

http://doi.org/10.1631/jzus.B1100161


Management of traumatic hemothorax by closed thoracic drainage using a central venous catheter


Author(s):  Jian-hua Yi, Hua-bo Liu, Mao Zhang, Jun-song Wu, Jian-xin Yang, Jin-ming Chen, Shan-xiang Xu, Jian-an Wang

Affiliation(s):  Department of Emergency, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China, Department of Emergency, Zhoushan Hospital of Zhejiang Province, Zhoushan 316004, China

Corresponding email(s):   wang_jian_an@tom.com

Key Words:  Central venous catheter, Drainage, Trauma, Hemothorax


Jian-hua Yi, Hua-bo Liu, Mao Zhang, Jun-song Wu, Jian-xin Yang, Jin-ming Chen, Shan-xiang Xu, Jian-an Wang. Management of traumatic hemothorax by closed thoracic drainage using a central venous catheter[J]. Journal of Zhejiang University Science B, 2012, 13(1): 43-48.

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author="Jian-hua Yi, Hua-bo Liu, Mao Zhang, Jun-song Wu, Jian-xin Yang, Jin-ming Chen, Shan-xiang Xu, Jian-an Wang",
journal="Journal of Zhejiang University Science B",
volume="13",
number="1",
pages="43-48",
year="2012",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1100161"
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%A Jian-hua Yi
%A Hua-bo Liu
%A Mao Zhang
%A Jun-song Wu
%A Jian-xin Yang
%A Jin-ming Chen
%A Shan-xiang Xu
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%J Journal of Zhejiang University SCIENCE B
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%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1100161

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T1 - Management of traumatic hemothorax by closed thoracic drainage using a central venous catheter
A1 - Jian-hua Yi
A1 - Hua-bo Liu
A1 - Mao Zhang
A1 - Jun-song Wu
A1 - Jian-xin Yang
A1 - Jin-ming Chen
A1 - Shan-xiang Xu
A1 - Jian-an Wang
J0 - Journal of Zhejiang University Science B
VL - 13
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SP - 43
EP - 48
%@ 1673-1581
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PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.B1100161


Abstract: 
Objective: To evaluate the efficacy and safety of the treatment of traumatic hemothorax by closed pleural drainage using a central venous catheter (CVC), compared with using a conventional chest tube. Methods: A prospective controlled study with the Ethics Committee approval was undertaken. A total of 407 patients with traumatic hemothorax were involved and they were randomly assigned to undergo closed pleural drainage with CVCs (n=214) or conventional chest tubes (n=193). The Seldinger technique was used for drainage by CVC, and the conventional technique for drainage by chest tube. If the residual volume of the hemothorax was less than 200 ml after the daily volume of drainage decreased to below 100 ml for two consecutive days, the treatment was considered successful. The correlative data of efficacy and safety between the two groups were analyzed using t or chi-squared tests with SPSS 13.0. A P value of less than 0.05 was taken as indicating statistical significance. Results: Compared with the chest tube group, the operation time, fraction of analgesic treatment, time of surgical wound healing, and infection rate of surgical wounds were significantly decreased (P<0.05) in the CVC group. There were no significant differences between the two groups in the success rate of treatment and the incidence of serious complications (P>0.05), or in the mean catheter/tube indwelling time and mean medical costs of patients treated successfully (P>0.05). Conclusions: Management of medium or large traumatic hemothoraxes by closed thoracic drainage using CVC is minimally invasive and as effective as using a conventional large-bore chest tube. Its complications can be prevented and it has the potential to replace the large-bore chest tube.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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