• 한국동물위생학회지
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• 제46권4호
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• pp.349-355
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• 2023

A 7-year-old castrated male Pomeranian dog presented with severe goose honking cough and dyspnea. Thoracic radiographs revealed a narrowed tracheal diameter at the thoracic inlet, classified as tracheal collapse grade 4. Despite medical treatment, the dog's life-threatening airway obstruction did not improve. Subsequently, tracheal stent placement resulted in a significant improvement in respiratory condition, with no recurrence of symptoms observed during the 4-month period, except for coughing induced by excitement and anxiety. However, the patient presented with a one-week history of productive cough, exercise intolerance, and loss of appetite. Radiographs and computed tomography scans revealed torsion of the left cranial lung lobe. The patient underwent affected lung lobectomy, which involved the removal of the necrotized cranial portion and heavily congested caudal portion. Unfortunately, the patient did not recover and eventually passed away. Histopathological examination of the resected lung tissue confirmed coagulative necrosis and marked peribronchiolar edema, consistent with lung lobe torsion.

• Journal of Chest Surgery
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• 제2권2호
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• pp.133-140
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• 1969

We observed 56 cases of nontraumatic pneumothorax clinically and statistically, which had been experienced at the deparment of chest surgery. St. Mary`s Hospital,Catholic Medical College in theserecent years. 1] In the underlying pathology of spontaneous pneumothorax, nontuberculous origin [60.7%], especially due to pulmonary emphysema or blebs[17.8%], especially due to pulmonary emphysema or blebs[17. 8%], tended to increase as the reports of foreign countries, but tuberculous origin was still high in our country[39.3%]. Considering the 14 cases, unknown underlying pathology, the most of them might have scattered blebs which were not revealed in chest Roentgen films. 2] The principle treatment done in our clinic was as follows; The patients, below 20% lung collapse were treated by bed rest and abdominal respiration. The patients, between 20% and 40% lung collapse were treated by repeated pleural aspiration or closed thoracotomy followed. The cases,over 40% lung collapse were treated by closed thoracotomy initially. 3] The average duration of indweIling catheter was 3 to 4 days in the closed thoracotomy. We used to not remove the indwelling catheter early to promote pleural adhesion. 4] Sometimes, the closed thoracotomy drainage induces bronchial irritation and asthmatic attacks, especially in old age group accompanying pulmonary emphysema. In these cases, respiratory difficulties and acidosis should be prevented and controlled with medical treatment including steroid therapy.

• Journal of Chest Surgery
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• 제36권7호
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• pp.527-530
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• 2003

재팽창성 페부종은 기흉이나 흉수 또는 무기폐로 인한 폐허탈을 치료할 때 생기는 매우 드문 합병증으로 때로는 중한 상태에 빠져 사망에 이르기도 한다. 재팽창성 폐부종은 오랜 기간동안 폐허탈이 있는 상태에서 빠른 속도로 많은 양의 공기나 흉수를 일시에 제거하여 발생한다 오랜 기간동안 허탈된 폐를 치료할 때에는 반드시 재팽창성 폐부종의 가능성과 합병증의 예방에 대하여 염두해 두어야 한다. 재팽창성 폐부종 환자에서 양측 폐의 기도저항과 탄성 차이가 심한 경우에, 관례적인 인공호흡기 치료법을 시행하면 정상인 한족 폐의 과폐창과 다른 한쪽 폐의 점차적인 허탈이 일어난다. 분리형 폐환기법은 이러한 문제점을 해결하는데 도움이 된다. 저자들은 두명의 남자 환자에서 심한 재팽창성 폐부종에 대하여 분리형 페환기법으로 치료하여 좋은 결과를 얻었기에, 분리형 폐환기법을 심한 재팽창성 폐부종의 치료법으로 제시한다.

• Tuberculosis and Respiratory Diseases
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• 제65권1호
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• pp.34-36
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• 2008

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.

• Journal of Chest Surgery
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• 제24권8호
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• pp.797-801
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• 1991

Reexpansion pulmonary edema following pneumothorax, atelectasis, massive pleural effusion are clinically uncommon, but sometimes life threatening progression. Reexpansion pulmonary edema is usually ipsilateral but rarely contralateral or both. Reexpansion pulmonary edema was occurred when chronically collapsed lung is rapidly reexpanded by evacuation of large amounts of air or fluid. The pathogenesis of the reexpansion pulmonary edema is unknown but is probably mutifactorial. The etiological factors of the reexpansion pulmonary edema are chronicity of the lung collapse, technique of the reexpansion, airway obstruction, loss of the surfactant, and pulmonary artery pressure changes. In the treatment of the chronically collapsed lung, physician must be remembered the possible events, and to prevent of the complication.

• Journal of Chest Surgery
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• 제26권9호
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• pp.718-721
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• 1993

Reexpansion pulmonary edema[ RPE ] with hypoxemia and hypotension is a very rare complication of the treatment of lung collapse secondary to pneumothorax and pleural effusion. We experienced two cases of RPE. One is a 29 year old male with complete right pneumothorax and the other is a 20 year old female with massive right pleural effusion. Life threatening pulmonary edema was developed soon after insertion of chest tube in both. Fortunately, RPE was detected early and intensive treatment was performed. They were discharged without complication. Although RPE with hypoxemia and hypotension is rare , it is very serious and occasionally life-threatening. So, chest surgeon treating lung collapse must be aware of the possibility of RPE and make an effort to prevent the occurence of this condition.

• Journal of Chest Surgery
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• 제28권1호
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• pp.81-84
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• 1995

Re-expansion pulmonary edema following pneumothorax or hemothorax is clinically uncommon but occasionally life threatening. Clinical details are given of two patients.Ipsilateral pulmonary edema were developed after chest tube insertion due to spontaneous pneumothorax in case I and after evacuation of postoperative hemothorax in case II. The patients were treated with frequent bronchial toilet.The administration of colloid solution and diuretics was effective. The possible mechanisms underlying the edema are discussed.Both increased time of collapse and suction tended to correlate with reexpansion edema.The present two cases provided evidence for longstanding lung collapse and immediate application of suction.

• Journal of Chest Surgery
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• 제31권6호
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• pp.634-637
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• 1998

폐의 태반양 변형은 매우 드문 질환이다. 27세 여자 환자가 7일간의 우측 흉통과 경미한 호흡곤란으로 입원하였다. 흉부X-선촬영 소견상 우폐상엽은 크고 작은 기포에 의하여 전체가 대치되어 있었고 우폐하엽과 중엽은 다양한 크기의 기포와 부분적인 허탈 소견을 보였다. 거대 기포 및 폐기종 진단하에 우폐 전폐절제술을 시행하였으며 조직학적검사 소견상 기포에서 보인 변성을 동반한 태반융모와 흡사한 유두상 구조가 특징적이었다.

• Journal of Chest Surgery
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• 제24권10호
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• pp.1000-1004
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• 1991

Children`s small airway precludes the use of standard methods of bronchial separation. So, we performed the posterior thoracotomy under the prone position in 3 cases to avoid endobronchial gravity spillage of secretion and infected debris from the diseased lung to the contralateral sound lung. The advantages of the posterior thoracotomy under the prone position was discussed. In two cases, empyema with total collapse of left lung and congenital cystic adenomatoid malformation [CCAM] of right lung, copious secretion was spilled through the endotracheal tube but could be removed successfully by the endotracheal suction. In the third case of bilateral peripleural abscess, bilateral posterior thoractomy was done without position change. All procedures were performed without any technical difficulty and complication.

• 한국임상수의학회지
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• 제15권1호
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• pp.188-192
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• 1998

A 3-month old female Holstein calf was presented with about a month history of intermittent dyspnea, exercise intolerance and cough despite antibiotic therapy. Auscultation revealed prominent inspiratory and exploratory crackles and wheezes over the causal cervical trachea which were heard equally over both side of the chest.4 modest amount of forced exercise caused severe respiratory distress with stertorous noise and occasional honkinglike cough. Pasteurella spp. was isolated on the nasal swabs and a hemogram showed mild leucocytosis with a mature neutrophilia and mild monocytosis. Lateral radiographs of the neck and thorax revealed a marked narrowing of the tracheal lumen extending from the level of the fifth cervical to the second thoracic vertebra, and the lung field was judged to be within normal limitsi except very mild peribronchial thickening. The hypertrophic non-union fractures of the first pair of ribs were noted with a well delineatedr redundant callus formations and also the completely healed fractures were found on the next seven pairs of ribs. A diagnosis of tracheal collapse was made, which is thought to be a traumatic origin.4 poor prognosis was given. The calf was euthanatized and necropsied. The tracheal rings from 19th to 41s1 were collapsed dorsoventrally. Histologically, there was no difference between the collapsed and normal areas of the tracheae except the folding mucosal layer in the collapsed area. This report details a case of tracheal collapse in a calli and the literature is reviewed.