• 제목/요약/키워드: pulmonary edema

검색결과 267건 처리시간 0.027초

재팽창성 폐부종;2례 보고 (Reexpansion Pulmonary Edema -Report of 2 Case-)

  • 김동관
    • 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.

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Unilateral Pulmonary Edema after Minimally Invasive Cardiac Surgery: A Case Report

  • Jung, Eun Yeung;Kang, Hee Joon;Min, Ho-Ki
    • Journal of Chest Surgery
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    • 제55권1호
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    • pp.98-100
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    • 2022
  • Unilateral pulmonary edema after minimally invasive cardiac surgery is a rare, but potentially life-threatening condition. However, the exact causes of unilateral pulmonary edema remain unclear. We experienced aggressive unilateral pulmonary edema followed by redo-resection of recurrent left atrial myxoma through a right mini-thoracotomy. Intraoperative veno-venous extracorporeal membrane oxygenation was applied after the termination of cardiopulmonary bypass, and separate mechanical ventilation using a double-lumen endotracheal tube was applied after surgery. The patient was successfully treated and discharged uneventfully.

Sodium nitroprusside on acute cardiogenic pulmonary edema in dogs: case reports

  • Han, Mangil;Kim, Yoonhwan;Jeong, Yunho;Ahn, Jin-Ok;Chung, Jin-Young
    • 대한수의학회지
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    • 제62권3호
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    • pp.22.1-22.4
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    • 2022
  • This study reports the efficacy of the vasodilator sodium nitroprusside (SNP), for treatment of acute cardiogenic pulmonary edema in dogs. For this study, the patients were divided into the SNP only treatment group, the SNP, furosemide and dobutamine treatment group, and non-SNP treatment group. Seven dogs, 6 dogs and 2 dogs were favorable responders in SNP only group, group with SNP, furosemide and dobutamine and non-SNP treatment group, each. The results of this study suggest that SNP can be an effective alternative therapy for dogs with acute cardiogenic pulmonary edema.

한타바이러스 폐 증후군 (A Case of Hantavirus Pulmonary Syndrome)

  • 이계영;김윤섭;지영구;배현주;윤성철;김건열
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1382-1389
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    • 1997
  • 저자들은 감기증상 후에 빠른 시간내에 급성호흡부전증에 이르렀던 환자에서 신증후성 출혈열과는 다르게 주로 호흡기와 순환기를 침범하는 한타바이러스 폐 증후군 1예률 경험하였기에 고하는 바이다.

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분리형 폐환기법을 이용한 재팽창성 폐부종의 치료 -2예 보고 - (Differential Lung Ventilation Therapy for Reexpansion Pulmonary Edema - Report of 2 cases -)

  • 김덕실;김성완;김대현;이응배;전상훈
    • 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.

양악 수술 중 발생한 폐부종의 치험례 (CASE REPORT OF PULMONARY EDEMA DURING TWO JAW SURGERY)

  • 최희원;김경원;이은영;강지연
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권2호
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    • pp.178-182
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    • 2006
  • 폐부종은 구강악안면외과 영역의 수술 도중에 발생할 가능성이 있다. 따라서 전신마취하에 수술중인 외과의와 마취의는 환자의 상태를 주의깊게 관찰하여야 하며 수술 중 폐부종이 발생할 가능성에 항상 대비하여야 한다. 폐부종 증세가 발견되는 즉시, 즉각적이고도 적절한 처치를 시행한 경우 예후가 좋으며, 근본적인 원인치료 및 타장기의 합병증 및 후유증에 대하여 검사가 필요하다.

폐부종 및 신부전을 동반한 개와 고양이에서 체외초미세여과법을 이용한 치료 (Application of Extracorporeal Ultrafiltration Therapy Given to a Dog and a Cat with Pulmonary Edema and Renal Failure)

  • 박형진;변석영;최준혁;이종복;송근호;서경원
    • 한국임상수의학회지
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    • 제33권1호
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    • pp.34-38
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    • 2016
  • 1년동안 ACVIM C단계의 심부전 및 IRIS 4단계의 신부전으로 관리 중이던 13세의 중성화 잡종견과 급성으로 발병한 신부전으로 인한 요독증과 이에 속발한 형태의 폐부종이 동반된12세의 중성화 암컷 잡종 고양이가 본원에 내원하였다. 본 환자들에 체외초미세여과법을 이용한 투석요법을 적용하여 폐부종, 요독증 및 이에 동반된 전해질 및 산염기 불균형 등이 개선되었다. 본 증례는 초미세여과법을 이용한 투석요법이 이뇨제 저항성 및 심한 전해질 불균형이 있는 심장신장증후군 환자와 이뇨제를 이용한 폐부종 치료 도중 급성으로 신장기능 이상이 발생한 환자 등에서 생명을 구하는 치료옵션으로 고려될 수 있음을 보여준다.

정역대조사폐탕(大棗瀉肺湯)이 Paraquat로 유발(誘發)시킨 흰쥐의 폐수종(肺水腫)에 미치는 영향(影響) (Effects of Jeonglyukdaejosapaetang on the Pulmonary Edema of the Rats Induced by the Herbicide, Paraquat)

  • 강병구;이시형
    • 대한한의학방제학회지
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    • 제8권1호
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    • pp.225-239
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    • 2000
  • Pulmonary edema is a disease involving the principal symptoms: dyspnea, bloody phlegm, asthma, cough, etc. According to oriental medical references, Jeomglyukdaejosapaetang (J.D.T) was efficacious for dropsy, cough, dysnea, etc, so it was thought to be used for remedy of pulmonary edema. Therefore experimental study was performed to investigate the effects of J.C.T on pulmonary edema of the rats induced by the herbicide, paraquat.Thus the survival rats, respiratory rats, lung weights and histopathological view of the lungs of rats were studied. The results are as follows. 1. The survival rates at 72hours of the rats injected with paraquat and treated with J.D.T increased in B group(J.D.T + Cortex Lycii Radicis + Cortex mori). The others were not different with the control. 2. The respiratory rates of the rats which survived 72hours later significantly decreased in B group(J.D.T + Cortex Lycii Radicis + Cortex mori). 3. The lung weights of the rats which survived for 72hours later significantly decreased in B group(J.B.T + Cortex Lycii Radicis + Cortex mori). 4. The histopathological views of the lungs of rats induced by paraquat were seen severe hemorrhage, edema and some broken alveoli in control group. But B group(J.D.T + Cortex Lycii Radicis + Cortex mori) were seen little hemorrhage and interstitial hyperplasia. According to the above results, J.D.T + Cortex Lycii Radicis + Cortex mort is effective on the remedy for pulmonary edema of rats induced by paraquat.

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Predictors of Cardiogenic and Non-Cardiogenic Causes in Cases with Bilateral Chest Infiltrates

  • Lee, Yeon Joo;Lee, Jinwoo;Park, Young Sik;Lee, Sang-Min;Yim, Jae-Joon;Yoo, Chul-Gyu;Kim, Young Whan;Han, Sung Koo;Lee, Chang-Hoon
    • Tuberculosis and Respiratory Diseases
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    • 제74권1호
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    • pp.15-22
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    • 2013
  • Background: Differentiating cardiogenic pulmonary edema from other bilateral lung diseases such as pneumonia is frequently difficult. We conducted a retrospective study to identify predictors for cardiogenic pulmonary edema and non-cardiogenic causes of bilateral lung infiltrates in chest radiographs. Methods: The study included patients who had newly developed bilateral lung infiltrates in chest radiographs and patients who underwent echocardiography. Cases were divided into two groups based on the echocardiographic findings: the cardiogenic pulmonary edema group and the non-cardiogenic group. Clinical characteristics and basic laboratory findings were analyzed to identify predictors for differential diagnosis between cardiogenic and non-cardiogenic causes of bilateral chest infiltrates. Results: We analyzed 110 subjects. Predictors of cardiogenic pulmonary edema were higher brain natriuretic peptide (BNP) levels, lower C-reactive protein (CRP) levels on the day of the event (<7 mg/dL), age over 60 years, history of heart disease, and absence of fever and sputum. CRP on the day of the event was an independent factor to differentiate cardiogenic and non-cardiogenic causes of newly developed bilateral chest infiltrates. Also, the validity was comparable to BNP. Conclusion: Clinical symptoms (sputum and fever), medical history (dyslipidemia and heart disease), and laboratory findings (BNP and CRP) could be helpful in the differential diagnosis of patients with acute bilateral lung infiltrates in chest radiographs.