흉부 방사선치료의 이력이 있는 기도내관을 유지 중인 환자에게서 발생한 음압성 폐부종과 폐출혈

• 영문명: Negative Pressure Pulmonary Edema and Pulmonary Hemorrhage in an Intubated Patient with Previous Radiation Therapy on Thorax
• 발행기관: 조선대학교 의학연구원
• 저자명: 이명수(Myung Su Lee) 박천희(Cheon Hee Park) 안태훈(Tae Hun An)
• 간행물 정보: 『The Medical Journal of Chosun University』제42권 제4호, 116~119쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.12.31

영문 초록

Acute upper airway obstruction can cause negative pressure pulmonary edema (NPPE). It is a well-known perianesthetic complication, but is uncommon for intubated patients. Radiation injury of lung can easily lead to pulmonary hemorrhage or NPPE caused by changes of transthoracic or transpulmonary pressure. It is due to injury of alveolar-capillary membrane by radiation. We report the case of a 71-year-old man with a history of radiation therapy for lung cancer after surgical resection who developed the abrupt onset of pulmonary hemorrhage and NPPE during general anesthesia for hydrocele and inguinal hernia operation.

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키워드

Airway obstruction Pulmonary edema Pulmonary hemorrhage Negative pressure Radiation