N-아세틸시스테인 투여후 발생한 급성 무기폐 - 증례보고-

• 영문명: Acute Atelectasis after N-acetylcysteine Instillation - A c a se re p o rt-
• 발행기관: 조선대학교 의학연구원
• 저자명: 이광범(Kwang-Beom Lee) 안용미(Yong-Mi An) 이철승(Cheol-Seung Lee) 최준석(June-Seog Choi) 박천희(Choon-Hee Park)
• 간행물 정보: 『The Medical Journal of Chosun University』제34권 제1호, 68~71쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.03.31

영문 초록

Causes of atelectasis under general anesthesia are tracheal foreign body, blood clot, aspiration of bronchial secretion, one-lung ventilation and relative predominance of parasympathetic system. N-acetylcysteine is mucolytic agent which improves the capability of sputum drainage. After administration of N-acetylcysteine, an increased volume of liquified bronchial secretions may occur. When cough is inadequate, the airway must be maintained open by mechanical suction. In case that is a mechanical block due to local accumulation, the airway should be cleared by endotracheal aspiration. A 49-year-old female was admitted for bilateral laparoscopic oophorectomy due to ovarian tumors. There was not any problem during a general anesthesia induction. After instillation of N-acetylcysteine into endotracheal tube, acute atelectasis was developed in right lower lung.

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키워드

atelectasis general anesthesia N-acetylcysteine