Tuberculosis and Respiratory Diseases

  • 제65권1호
  • /
  • Pages.34-36
  • /
  • 2008
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

임신 중 발생한 객혈로 인한 전폐허탈 1예

A Case of Total Lung Collapse due to Hemoptysis in Pregnancy

  • 조정제 (울산대학교 의과대학 서울아산병원 내과) ;
  • 나승원 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이광하 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이정아 (울산대학교 의과대학 서울아산병원 가정의학과) ;
  • 강채훈 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 권동일 (울산대학교 의과대학 서울아산병원 영상의학과) ;
  • 오연목 (울산대학교 의과대학 서울아산병원 호흡기내과)
  • Cho, Jung Je (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ra, Seung Won (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Kwang Ha (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jung A (Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Chae Hoon (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Gwon, Dong Il (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Oh, Yeon-Mok (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2008.06.09
  • 심사 : 2008.06.25
  • 발행 : 2008.07.30
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초록

임산부에서 객혈은 기저질환에 의해 2차적으로 일어날 때가 많지만, 기저질환이 없이도 임신중 호르몬 변화에 의한 혈관신생에 의해 일어날 가능성이 있다. 저자들은 임신시에 발생한 객혈로 인한 우측 전폐허탈을 보였으나 기저질환을 찾을 수 없었던 임산부 1예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

Pregnancy induces many physiologic changes, and it can cause hemoptysis in relation to the underlying or potential pulmonary diseases. Although hemoptysis is not a frequent event during pregnancy, a thorough search for its etiology and then immediate management should be initiated for a case of massive hemoptysis to avoid serious adverse effects on both the fetus and the mother. Most hemoptysis events during pregnancy are related to well known etiologies, but there are a few reported cases of hemoptysis in pregnant women who are without any underlying lung lesion. We report here on a case of a pregnant woman with total lung collapse due to hemoptysis, and a thorough search for the etiology after delivery could not reveal any etiology.

키워드

참고문헌

  1. Shaikh S, Saad RA, Christie G, Kerr KM, Remmen H. Spontaneous dissection of an anomalous systemic artery in the lung during pregnancy: a rare cause of hemoptysis. Ann Thorac Surg 2006;82:725-6. https://doi.org/10.1016/j.athoracsur.2005.11.026
  2. Dayoan ES, Dimen LL, Boylen CT. Successful treatment of Wegener's granulomatosis during pregnancy: a case report and review of the medical literature. Chest 1998;113:836-8. https://doi.org/10.1378/chest.113.3.836
  3. Peyrat E, Chabbert V, Escamilla R, Saada J, Degano B. Idiopathic hemoptysis in pregnant women: a distinct entity? Respir Med 2007;101:2221-3. https://doi.org/10.1016/j.rmed.2007.05.022
  4. Jean-Baptiste E. Clinical assessment and management of massive hemoptysis. Crit Care Med 2001;29:1098.
  5. Kali PB, Gray GE, Violari A, Chaisson RE, McIntyre JA, Martinson NA. Combining PMTCT with active case finding for tuberculosis. J Acquir Immune Defic Syndr 2006;42:379-81. https://doi.org/10.1097/01.qai.0000218434.20404.9c
  6. Huppertz B, Peeters LL. Vascular biology in implantation and placentation. Angiogenesis 2005;8:157-67. https://doi.org/10.1007/s10456-005-9007-8
  7. Pratter MR. Chronic upper airway cough syndrome secondary to rhinosinus diseases (previously referred to as postnasal drip syndrome): ACCP evidence-based clinical practice guidelines. Chest 2006;129:63S-71S.
  8. Krause DN, Duckles SP, Pelligrino DA. Influence of sex steroid hormones on cerebrovascular function. J Appl Physiol 2006;101:1252-61. https://doi.org/10.1152/japplphysiol.01095.2005