Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Focal Reexpansion Pulmonary Edema after Chest Tube Insertion

흉관 삽관 후 발생한 국소성 재팽창성 폐부종 1예

  • Chung, Hye Kyoung (Department of Internal Medicine, School of Medicine, Soonchunhyang University) ;
  • Jang, Won Ho (Department of Chest Surgery, School of Medicine, Soonchunhyang University) ;
  • Kim, Yang Ki (Department of Internal Medicine, School of Medicine, Soonchunhyang University) ;
  • Lee, Young Mok (Department of Internal Medicine, School of Medicine, Soonchunhyang University) ;
  • Hwang, Jung Hwa (Department of Radiology, School of Medicine, Soonchunhyang University) ;
  • Kim, Ki-Up (Department of Internal Medicine, School of Medicine, Soonchunhyang University) ;
  • Uh, Soo-Taek (Department of Internal Medicine, School of Medicine, Soonchunhyang University)
  • 정혜경 (순천향대학교 의과대학 내과학교실) ;
  • 장원호 (순천향대학교 의과대학 흉부외과학교실) ;
  • 김양기 (순천향대학교 의과대학 내과학교실) ;
  • 이영목 (순천향대학교 의과대학 내과학교실) ;
  • 황정화 (순천향대학교 의과대학 영상의학교실) ;
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실)
  • Received : 2009.05.18
  • Accepted : 2009.07.07
  • Published : 2009.07.30
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Abstract

Reexpansion pulmonary edema is not a common phenomenon after chest tube insertion but some reports from 0% to 14%. There are various resulting complications, including acute respiratory distress syndrome. We report a case of focal reexpansion pulmonary edema after chest tube insertion. A 49-year-old male came to the hospital due to ongoing dyspnea and left chest pain for 3 days. On chest X-ray, the patient had a left pneumothrax. We planned to insert a chest tube for symptom relief. To determine whether or not the chest had expanded as a result of the chest tube insertion, the patient underwent repeated chest X-rays the following day. The patient experienced brief respiratory symptoms upon initial suction; a chest PA showed patchy consolidated infiltration at the inserted site. After 5 days of conservative management, the recovered completely.

저자들은 흉통과 경도의 호흡곤란으로 내원하여 기흉 진단된 환자에서 치료적 흉관 삽입 시술 후, 갑작스런 음압으로 허탈된 폐가 펴지면서 발생한 재팽창성 폐부종의 증례를 이달의 X-선에 보고하는 바이다.

Keywords

References

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