首页|期刊导航|中国肺癌杂志|数字引流系统在肺切除术后胸管管理中的应用现状与展望

数字引流系统在肺切除术后胸管管理中的应用现状与展望OA

Digital Drainage Systems in Postoperative Chest Tube Management after Pulmonary Resection:Current Status and Future Perspectives

中文摘要英文摘要

胸腔引流管理是肺切除术后围手术期管理的重要环节,旨在排除胸膜腔内积气及积液、促进肺复张.然而,传统胸腔引流系统主要依赖人工观察,难以连续量化漏气程度,导致胸管拔除时机判断存在主观性.近年来,数字引流系统(digital drainage system,DDS)逐渐应用于临床,其通过传感器连续监测胸腔压力及气、液流量,并生成动态趋势曲线,为胸腔引流管管理提供客观依据.DDS有助于提高引流评估的精准性,优化胸管管理策略,但其推广仍受到成本、应用经验及医疗体系差异等因素影响.本文对DDS在肺切除术后胸腔引流管理中的应用现状、优势及挑战进行综述.

Chest drainage management is an essential component of perioperative care after pulmonary resection,aiming to evacuate intrapleural air and fluid and promote lung re-expansion.However,conventional chest drainage systems mainly rely on manual observation,making continuous and quantitative assessment of air leakage difficult and resulting in sub-jective decision-making regarding the timing of chest tube removal.In recent years,digital drainage systems(DDS)have been increasingly applied in clinical practice.By using integrated sensors,DDS enables continuous monitoring of pleural pressure,air flow,and fluid drainage,and provides dynamic trend curves,thereby offering objective evidence for chest tube management.DDS may improve the accuracy of drainage assessment and optimize chest tube management strategies;however,its wide-spread adoption remains influenced by factors such as cost,clinical experience,and healthcare system differences.This review summarizes the current application status,advantages,and challenges of DDS in postoperative chest drainage management after pulmonary resection.

王艺哲;沈鸿儒;康静;孙墨涵;崔永;王沛豪

100050 北京,首都医科大学附属北京友谊医院胸外科100050 北京,首都医科大学附属北京友谊医院胸外科100050 北京,首都医科大学附属北京友谊医院胸外科100050 北京,首都医科大学附属北京友谊医院胸外科100050 北京,首都医科大学附属北京友谊医院胸外科710038 西安,空军军医大学唐都医院胸腔外科

肺肿瘤胸腔引流数字引流系统肺切除术加速康复外科

Lung neoplasmsChest drainageDigital drainage systemPulmonary resectionEnhanced recovery after surgery

《中国肺癌杂志》 2026 (7)

518-524,7

10.3779/j.issn.1009-3419.2026.101.16

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