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Tuberculosis & Respiratory Diseases

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Vol.67 No.1
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흉관 삽관 후 발생한 국소성 재팽창성 폐부종 1예

A Case of Focal Reexpansion Pulmonary Edema after Chest Tube Insertion

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2009, v.67 no.1, pp.59-62
정혜경 (순천향대학교)
장원호 (순천향대학교)
김양기 (순천향대학교)
이영목 (순천향대학교)
황정화 (순천향대학교)
김기업 (순천향대학교)
어수택 (순천향대학교)
정혜경, 장원호, 김양기, 이영목, 황정화, 김기업, & 어수택. (2009). 흉관 삽관 후 발생한 국소성 재팽창성 폐부종 1예. Tuberculosis & Respiratory Diseases, 67(1), 59-62.
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초록

저자들은 흉통과 경도의 호흡곤란으로 내원하여 기흉진단된 환자에서 치료적 흉관 삽입 시술 후, 갑작스런 음압으로 허탈된 폐가 펴지면서 발생한 재팽창성 폐부종의증례를 이달의 X-선에 보고하는 바이다.

keywords
Reexpansion pulmonary edema, Pneumothorax, Chest tube insertion

Abstract

Reexpansion pulmonary edema is not a common phenomenon after chest tube insertion but some reports from 0% to 14%. There are various resulting complications, including acute respiratory distress syndrome. We report a case of focal reexpansion pulmonary edema after chest tube insertion. A 49-year-old male came to the hospital due to ongoing dyspnea and left chest pain for 3 days. On chest X-ray, the patient had a left pneumothrax. We planned to insert a chest tube for symptom relief. To determine whether or not the chest had expanded as a result of the chest tube insertion, the patient underwent repeated chest X-rays the following day. The patient experienced brief respiratory symptoms upon initial suction; a chest PA showed patchy consolidated infiltration at the inserted site. After 5 days of conservative management, the recovered completely.

keywords
Reexpansion pulmonary edema, Pneumothorax, Chest tube insertion

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Tuberculosis & Respiratory Diseases

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