Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Acute Respiratory Distress Syndrome(ARDS) after Talc Pleurodesis

Talc를 이용한 늑막유착술 후 발생한 급성 호흡곤란증후군 1례

  • Kim, Ki-Up (Department of Internal Medicine, Soonchunhyang University) ;
  • Cha, Kun-Young (Department of Internal Medicine, Soonchunhyang University) ;
  • Han, Sang-Hoon (Department of Internal Medicine, Soonchunhyang University) ;
  • Yun, Yeo-Il (Department of Internal Medicine, Soonchunhyang University) ;
  • Park, Sung-Woo (Department of Internal Medicine, Soonchunhyang University) ;
  • Kim, Do-Jin (Department of Internal Medicine, Soonchunhyang University) ;
  • Na, Mun-Jun (Department of Internal Medicine, Kunyang University) ;
  • Uh, Soo-Taek (Department of Internal Medicine, Soonchunhyang University) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, Soonchunhyang University) ;
  • Park, Choon-Sik (Department of Internal Medicine, Soonchunhyang University)
  • 김기업 (순천향대학교의과대학 내과학교실) ;
  • 차건영 (순천향대학교의과대학 내과학교실) ;
  • 한상훈 (순천향대학교의과대학 내과학교실) ;
  • 윤여일 (순천향대학교의과대학 내과학교실) ;
  • 박성우 (순천향대학교의과대학 내과학교실) ;
  • 김도진 (순천향대학교의과대학 내과학교실) ;
  • 나문준 (건양대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교의과대학 내과학교실) ;
  • 김용훈 (순천향대학교의과대학 내과학교실) ;
  • 박춘식 (순천향대학교의과대학 내과학교실)
  • Published : 2001.09.30
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Abstract

Presently talc is one of the agents most commonly used for producing a pleurodesis in patients with either a recurrent pleural effusion or a spontaneous pneumothorax. Talc can be instilled into the pleural space either as an aerosol (insufflation) or as a suspension (slurry) in saline. They are quite effective in producing a pleurodesis. However, they rarely have acute serious adverse effects including acute respiratory distress syndrome, and recently a discussion for using pleurodesis has been reported. We experienced a case of acute respiratory distressed syndrome after talc pleurodesis. A 64 year old man, who was diagnosed lung cancer with a malignant pleural effusion at the same side, was treated by pleurodesis using talc to control the effusion. After 3 days, he suffered fever, chill and breathlessness. The chest P A and CT revealed a bilateral infiltration in both lungs and the blood gas analysis confirmed hypoxemia, which required mechanical ventilation.

저자들은 악성 늑막삼출 환자에서 talc로 늑막유착술을 시행하여 급성 호흡곤란증후군을 보인 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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