대량의 재발성 늑막액을 일으킨 일측성 폐정맥 폐쇄증 1예

A Case of Recurrent Massive Pleural Transudate by Unilateral Pulmonary Venous Obstrucion

  • 성인경 (한양대학교 의과대학 내과학교실) ;
  • 최완영 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실) ;
  • 이정희 (한양대학교 의과대학 내과학교실) ;
  • 서흥석 (한양대학교 의과대학 방사선과학교실)
  • Sung, In-Kyung (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Choi, Wan-Young (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Shin, Dong-Ho (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Park, Sung-Soo (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Lee, Jung-Hee (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Seo, Heung-Suk (Department of Diagnostic Radiology, College of Medicine, Hanyang University)
  • 발행 : 1992.02.29

초록

저자들은 최근 심한 늑막액이 반복되는 환자에서 재발성 일측성 폐정맥 폐쇄증을 진단후 추적관찰하였기에 문헌고찰과 함께 보고하였다.

A 27 years old male developed right-sided massive, recurrent, pleural transudate. EKG and echocardiogram showed right ventricular hypertropy. Chest X-ray and concurrent perfusion lung scan, performed after enough expansion of the right lung by drainage of the effusion through small cathter, showed that perfusion defect mismatched with the roentgenographic defect, which was likely to be a high probability of pulmonary thromboembolism. By cardiac catherization and pulmonary angiography the occlusion of pulmonary veins drained from the upper and middle lobe of the right lung could be revealed. More precise cause of occlusion couldn't be clear up because thoracotomy had to have been dangerous due to severe pulmonary hypertension. So the massive reurrent effusion was treated by repeated tetracycline instilations through chest tube and he was discharged. After following up 14 months at out-patient clinic, he expired because of sudden massive hemoptysis.

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