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A chest tube (chest drain, thoracic catheter, tube thoracostomy, or intercostal drain) is a flexible plastic tube that is inserted through the chest wall and into the pleural space or mediastinum. It is used to remove air (pneumothorax) or fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space. It is also known as a Bülau drain or an intercostal catheter. The concept of chest drainage was first advocated by Hippocrates when he described the treatment of empyema by means of incision, cautery, and insertion of metal tubes. However, the technique was not widely used until the influenza epidemic of 1917 to drain post-pneumonic empyema, which was first documented by Dr. C. Pope, on "Joel", a 22 month-old infant. The use of chest tubes in postoperative thoracic care was reported in 1922, and they were regularly used post-thoracotomy in World War II, though they were not routinely used for emergency tube thoracostomy following acute trauma until the Korean War. ==Medical uses== *Pneumothorax: accumulation of air or gas in the pleural space. *Pleural effusion: accumulation of fluid in the pleural space * *Chylothorax: a collection of lymphatic fluid in the pleural space * *Empyema: a pyogenic infection of the pleural space * *Hemothorax: accumulation of blood in the pleural space * *Hydrothorax: accumulation of serous fluid in the pleural space * *Postoperative: for example, thoracotomy, oesophagectomy, cardiac surgery 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Chest tube」の詳細全文を読む スポンサード リンク
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