Jung A L, Minton S D, Roan Y
Clin Pediatr (Phila). 1980 Sep;19(9):624-7. doi: 10.1177/000992288001900910.
We report two neonates in whom placement of a chest tube for pneumothorax was followed by hemorrhage, shock, and subsequent death. An autopsy of one of the patients led us to the conclusion that bleeding had occurred from lung perforation. The intercostal artery had been clearly severed and may have contributed to the hemorrhage. We discuss pathogenesis, diagnosis, and offer suggestions for proper placement of the tube.
我们报告了两名新生儿,他们在因气胸放置胸管后出现出血、休克,随后死亡。对其中一名患者进行尸检后我们得出结论,出血是由肺穿孔引起的。肋间动脉已被明显切断,可能是出血的原因之一。我们讨论了发病机制、诊断方法,并对胸管的正确放置提出了建议。