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Secondary spontaneous pneumothorax: indication for intercostal chest drain insertion?
  1. D K C Lee
  1. Dr D K C Lee, Department of Respiratory Medicine, Southend University Hospital, Westcliff-on-Sea SS0 0RY, Essex, UK; dkclee{at}doctors.org.uk

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A patient with chronic obstructive pulmonary disease presented with a history of sudden onset breathlessness and the chest radiograph shown in fig 1. Current guidelines advocate insertion of an intercostal chest drain for …

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