closed drainage

Closed drainage is mostly used in the thoracic cavity. A drainage tube is placed in the pleural cavity, and a closed drainage device is connected. The purpose is to drain the gas and fluid in the pleural cavity. Treatment of diseases: blood gas chest pneumothorax Indication Adapt to the drainage of pneumothorax, hemothorax, empyema and various thoracotomy. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation Antibiotics are routinely used before surgery. The management knowledge of the drainage device should be taught to the family. If you do not separate the drainage tube from the drainage bottle by yourself, do not replace the liquid in the drainage bottle by yourself. The drainage bottle is a sterile bottle, and can not be washed with raw water. Surgical procedure 1, before the surgery to do procaine skin allergy test (such as with lidocaine, can be exempted for the test), and given intramuscular injection of phenobarbital sodium 0.lg or pethidine 50mg. 2, the patient takes a semi-recumbent position (the vital signs are not stable, take the supine position). The effusion (or blood) drainage was selected from the 6th to 7th intercostal needles in the midline, and the pneumothorax drainage was selected from the 2nd to 3rd intercostals of the midline of the clavicle. The skin of the surgical field is routinely disinfected with iodine and alcohol, and a sterile surgical towel is placed. The surgeon wears sterile gloves. 3, local infiltration anesthesia incision area chest wall preparation layer, until the pleural and visible effusion or gas extraction; cut the skin 50px along the intercostal space, along the upper edge of the rib into the vascular clamp, separate the intercostal muscle layers until the chest; see Place the drain tube immediately when liquid or gas is rushing out. The depth of the drainage tube into the chest should not exceed 4 ~ 125px, the skin incision of the chest wall is sutured with silk thread, and the drainage tube is fixed and covered with sterile gauze. The end of the drainage tube is connected to the water seal bottle, and the drainage bottle is placed under the bed where it is difficult to be knocked down. 4, a large number of pleural cavity gas accumulation, effusion, open drainage should be slow. Do not drain more than 1000ml for the first time to prevent rapid swinging of the mediastinum or re-expansion pulmonary edema. After the condition is stable, gradually open the hemostatic forceps. complication Chest pain.

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