Bowen A D, Zarabi M
Am J Perinatol. 1985 Jan;2(1):43-5. doi: 10.1055/s-2007-999910.
A premature infant with hyaline membrane disease who developed a pneumothorax and was treated by a thoracostomy tube subsequently died of intracranial hemorrhage. At autopsy the tube was unexpectedly found to have penetrated completely through the right upper lobe. Observation of the course of a thoracostomy tube on both frontal and lateral radiographs may give additional evidence for perforation of the lung if the tube is not located peripherally and if it does not lie in the expected location of an interlobar fissure. In turn, a heightened index of suspicion may lead to more timely operative intervention if complications ensue after placement or after removal of a thoracostomy tube that has lacerated the lung.
一名患有透明膜病的早产儿发生气胸，经胸腔造瘘管治疗后，随后死于颅内出血。尸检时意外发现该导管已完全穿透右上叶。如果胸腔造瘘管不在外周且不在叶间裂的预期位置，在正位和侧位X线片上观察其走行可能为肺穿孔提供额外证据。反过来，如果在放置或拔除已撕裂肺的胸腔造瘘管后出现并发症，提高怀疑指数可能会导致更及时的手术干预。
