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A case of pulmonary vascular air embolism in a very-low-birth-weight infant with massive hydrops

초극소 미숙아에서 발생한 중증 태아 수종을 동반한 폐혈관 공기 색전증 1례

  • Kim, Myo Jing (Department of Pediatrics, College of Medicine, Dong-A University) ;
  • Yu, Hee Joon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Cha Gon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Soo Kyoung (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chang, Yun Sil (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Won Soon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김묘징 (동아대학교 의과대학 소아과학교실) ;
  • 유희준 (성균관대학교 의과대학 삼성서울병원 소아과학교실) ;
  • 이차곤 (성균관대학교 의과대학 삼성서울병원 소아과학교실) ;
  • 박수경 (성균관대학교 의과대학 삼성서울병원 소아과학교실) ;
  • 장윤실 (성균관대학교 의과대학 삼성서울병원 소아과학교실) ;
  • 박원순 (성균관대학교 의과대학 삼성서울병원 소아과학교실)
  • Published : 2009.12.15

Abstract

Pulmonary vascular air embolism is a rare and, universally, almost a fatal complication of positive pressure ventilation in newborn infants. Here, we report a case of this unusual complication in a very-low-birth-weight infant who showed the clinical and radiological features of this complication along with pulmonary hypoplasia and massive hydrops. The possible pathogenesis has been discussed and a brief review of related literature has been presented.

폐혈관 공기 색전증은 인공 환기 요법으로 치료 받는 신생아에서 드물게 발생하지만 매우 치명적인 합병증이다. 저자들은 특징적인 임상소견, 방사선소견을 보이며, 중증의 태아 수종과 폐형성 저하증을 동반한 초극소 미숙아에서 발생한 폐혈관 공기 색전증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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