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Clinical Pediatrics
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Pulmonary Hemorrhage Secondary to Chest Tube Placement for Pneumothorax in Neonates

August L. Jung

University of Utah and the Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City, Utah

Stephen D. Minton

University of Utah and the Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City, Utah

Yeai Roan

University of Utah and the Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City, Utah

We report two neonates in whom placement of a chest tube for pneumo thorax 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.

Clinical Pediatrics, Vol. 19, No. 9, 624-627 (1980)
DOI: 10.1177/000992288001900910
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This article has been cited by other articles:


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 CLIN PEDIATRHome page
A. L. Jung, J. Nelson, M. B. Jenkins, and W. A. Hodson
Clinical Evaluation of a New Chest Tube Used in Neonates
Clinical Pediatrics, February 1, 1991; 30(2): 85 - 87.
[Abstract] [PDF]

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 CLIN PEDIATRHome page
Traumatic Intercostal Hemorrhage Following Chest Tube Placement: A Practical Approach to Management
Clinical Pediatrics, February 1, 1989; 28(2): 101 - 102.
[PDF]