금속성 이물의 기관지 내 장기 체류로 발생한 대량 객혈 및 폐렴 1예
A Case of Massive Hemoptysis & Pneumonia Caused by Metallic Foreign Body
이정화 (가톨릭대학교)
이장은 (가톨릭대학교)
박형욱 (가톨릭대학교)
양승아 (가톨릭대학교)
박용근 (청주성모병원)
이상록 (청주성모병원)
안진영 (청주성모병원)
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초록
저자들은 기관지 내에 이물이 있음을 알고도 장기간 간과하여 이로 인해 대량객혈과, 폐쇄성 폐렴 등이 발생하였고 이물의 자발적인 제거로 임상 증상 및 방사선적인 호전을 보인 증례 1예를 경험하였기에 보고하는 바이다. 또한 증상이 없는 폐 이물질이 우연히 발견된 경우에도 향후 이물질로 인한 합병증 발생의 가능성을 생각해서 제거에 대한 필요성을 환자에게 적극적으로 알릴 필요가 있다는 점을 느낀 증례이다.
- keywords
- Foreign body, Hemoptysis, Obstructive pneumonia., Foreign body, Hemoptysis, Obstructive pneumonia.
Abstract
Endobronchial foreign bodies are difficult to diagnose as the cause of obstructive pneumonia and atelectasis, However, once discovered, they can generally be removed, leading to an immediate and dramatic resolution of the symptoms. Occasionally, small foreign bodies that lodge in the peripheral airway are often initially asymptomatic but become symptomatic several years later. We reported a case of obstructive pneumonia and massive hemoptysis caused by a foreign metallic body. The patient knew that the foreign body was lodged in the peripheral airway on the chest X-ray, but did not want treatment. Several years later, he had a massive hemoptysis and obstructive pneumonia. Removal with a flexible bronchoscope failed, but the metallic foreign body was self-expectorated by coughing after the procedure. The pneumonia was resolved after removing the foreign body. The patient improved and was discharged without any sequela. (Tuberc Respir Dis 2006; 61: 567-572)
- keywords
- Foreign body, Hemoptysis, Obstructive pneumonia., Foreign body, Hemoptysis, Obstructive pneumonia.
참고문헌
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