• Title/Summary/Keyword: pulmonary edema

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Primary Intimal Sarcoma Originating from Pulmonary Valve. (폐동백 판막에 발생한 폐동맥 내막육종)

  • 이재원
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.823-826
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    • 2000
  • Primary intimal sarcoma of the pulmonary artery is a rare disease and there has been no report of any case originating from the pulmonary valve. Recently we experienced a 62 year-old female patient who had a primary intimal sarcoma of the pulmonary valve with distal metastasis. She was brought to medical attention due to exertional dyspnea facial edema productive coughing and general weakness for 1 month. Chest CT and echocardi-ography suggest an acute pulmonary thromboembolism or tumor. Exploration showed a large polypoid mass arising from the pulmonary leaflets and multiple masses on distal pulmonary arteries. We replaced the pulmonary valve and reconstructed the pulmonary artery. She received radiotherapy 1 month postoperatively and now 4 months after surgery she has begun receiving chemotherapy.

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Air in the Left Brachiocephalic Vein Accompanied with Pulmonary Edema (폐부종을 동반한 왼팔머리정맥 내의 공기 음영)

  • Lee, Sung Won;Kang, Hyeon Hui;Kim, Min Hee;Kwon, Hyuk Min;Lee, Ji Myoung;Lee, Jong Yul;Oh, Su Jin;Lee, Sang Haak;Moon, Hwa Sik
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.1
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    • pp.57-60
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    • 2008
  • A fifty-seven year old female patient visited the emergency department with tachypnea and a decreased mental status. The patient had been receiving fluid therapy at home and a bolus of air was injected into the fluid bottle in order to increase the infusion speed. Chest computed tomography revealed air in the left brachiocephalic vein that was accompanied with pulmonary edema the diagnosis of venous air embolism was made. Venous air embolism can result from various procedures that are performed in almost all clinical specialties and they can be fatal in cases of massive air embolism. Therefore, it is important for all clinicians to be aware of this problem.

A Case of Pulmonary Mucormycosis Mimicking Bilateral Pulmonary Edema on Chest X-ray (당뇨성 케톤산증에서 폐부종과 유사하게 나타난 폐모균증 (Pulmonary Mucormycosis) 1예)

  • Yu, Seung-Chul;Suhr, Ji-Won;Bae, Hye-Kyung;Lee, Jong-Min;Moon, Hwa-Sik;Song, Jeong-Sup;Park, Seok-Yeong;Lee, Eun-Hee;Park, Sung-Hak
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.1
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    • pp.213-221
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    • 1998
  • Pulmonary mucormycosis is an uncommon, but important opportunistic fungal infection associated with diabetes mellitus, leukemia, lymphoma and other immunocompromised states. Mucor species grow best in acidic-high glucose medium. which explaining the particular susceptibility of diabetic patient who are ketoacidic. Early consideration of this diagnosis, along with aggressive diagnostic evaluation, is critical to effective therapy and patient survival. We have experienced a case of pulmonary murcomycosis mimicking bilateral pulmonary edema on chest Xray that associated with diabetic ketoacidosis. A brief review of the literature was given.

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A Case of Pulmonary Injuny Induced by Accidental Exposure to High Level of Nitrogen Dioxide ($NO_2$) (고농도의 이산화질소($NO_2$)흡입으로 유발된 급성 폐손상 1례)

  • Chang Jin Hyuck;Kim Do Youn;Kim Young;Chang Yoon Soo;Kim Hyung Jung;Ahn Chul Min;Kim Sung Kyu;Kim Tae Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.3 no.1
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    • pp.40-44
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    • 2005
  • Nitrogen dioxide ($NO_2$), which produced during the process of silage, metal etching, explosives, rocket fuels, welding, and by-product of burning of fossil fuels, is one of major components of air pollutant. Accidental exposure of high level of $NO_2$ produces cough, dyspnea, pulmonary edema which may be delayed $4\~12$ hours and, in $2\~6$weeks, bronchiolitis obliterans. We experienced a case of acute pulmonary injuny induced by industrial exposure to high level of $NO_2$ during repair of $NO_2$ pipeline in a refinery. A 55-year-old man experienced nausea and severe dyspnea in 6 hours after $NO_2$ inhalation. Initial blood gas examination revealed severe hypoxemia accompanying increased alveolar-arterial O2 difference. Radiological examination showed diffuse ground glass opacities in both lung fields. Clinical symptoms and laboratory findings, including radiological study and pulmonary function test were improved with conservative treatment using inhaled oxygen and bronchodilator. and there was no evidence of bronchial fibrosis and bronchiolitis obliterance in chest high resolution computed tomography performed 6 weeks after exposure. Here, we report a case of $NO_2$ induced acute pulmonary injuny with a brief review of the relevant literature.

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Case about cardiogenic general edema of Soeumin apoplexy patient (소음인(少陰人) 전신부종(全身浮腫)에 대한 증례(證例))

  • Shin, Mi-ran;Kim, Sun-hyung;Kim, Dal-rae
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.1
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    • pp.265-270
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    • 2000
  • Occasionally, apoplexy is caused by functional or physiologic cardiopulmonary abnormality. In addition, theses may become the factor of aggravating apoplexy and involve complication. If patient has cardiopulmonary disease, progressing of apoplexy is commonly used to be accelerate and prognosis is deteriorative. There by the patient who has cardiopulmonary disease, should be particularly treated for cardiopulmonary disease. We got good result, during treat Soeumin cerebral vascular infarction patient who has pulmonary edema leaded from congestive heart failure, with Sasang Constitutional treatment. Therefore I reported them here. She was 68 years old, female patient. She visited our hospital for apoplexy with right side hemiparesis, dysphagia, dysphasia. After her admission into our hospital, we knew that she has congestive heart failure. The diagnosis is established. She presented with severe general edema and pulmonary edema. Although Soeumin edema usually classified as Taiyin Disease, we classified this as Shaoyin Disease, through diet, discharge, sleep, tongue and symptoms. We has prescribed Gungguichongsoyijung-tang(芎歸蔥蘇理中湯) in accordance with the principle of invigorating the Spleen and lower Yin(建碑而降陰). And her symptoms has improved.

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A Case Report on Cardiac Asthma due to Congestive Heart Failure (울혈성 심부전으로 인한 심장성 천식환자 치험 1례)

  • Jung Wun-Suk;Shin Jeong-In;Sea Un-Kyo
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1093-1102
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    • 2003
  • Congestive heart failure is a cardiac dysfunction that can't supply sufficient amount of blood. The disorder usually causes hypertension, ischemic cardiac disease and give rise to pulmonary congestion and pulmonary epileptic edema. The symptoms of the disease are dyspnea, palpitation, edema, etc. We treated a 82 year-old female patient who had severe dyspnea, nausea, and dizziness. At the point of differentiation of syndromes(辨證), the case was diagnosed as Su-Cheon(水喘) induced by Yang-deficiency of Both Spleen and Kidney(脾腎陽虛) and was administered Yerunpang(胃?湯). After two weeks of the treatment, we witnessed improvement in the symptoms of CHF and general depressed condition. This report describes the process and contents about the way the patient was treated.

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학술 1 - 개와 고양이의 비심인성 폐부종

  • Lee, Hyeon-Un;Han, Dong-Hyeon
    • Journal of the korean veterinary medical association
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    • v.53 no.3
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    • pp.192-197
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    • 2017
  • 폐부종은 심인성, 혹은 비심인성 요인에 의해 발생한다. 심인성폐부종(Cardiogenic Pulmonary Edema, CPE)은 심질환, 좌심방 압력의 증가, 폐정맥과 폐모세혈관의 압력 증가와 관련있다. 이와는 대조적으로 비심인성 폐부종(Noncardiogenic Pulmonary Edema, NCPE)은 좌심방의 압력증가에 의해서 혹은 기저질환인 심장 질환과 관련없이 발생한 국소적인 정수압의 증가하여 발생하거나, 폐포나 모세혈관내 피표면의 투과도의 변화에 의해서 발생한다. 혹은 국소적인 정수압 및 투과도의 복합적인 변화 모두에 의하여 발생한다. NCPE의 환축을 적절하게 치료하기 위하여 CPE와 반드시 감별되어야 한다. 또한, 심인성 및 NCPE의 감별 및 적절한 처치를 위하여는 철저한 환축의 병력, 신체검사, 흉부방사선 촬영 등의 검사를 실시하여야 한다. NCPE는 원발요인과 치료반응에 따라 예후가 달라질 수 있다.

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Adrenal incidentaloma: a case of asymptomatic pheochromocytoma

  • Park, Sang Yoong;Rim, Jong Cheol;Cho, Hyun Chul;Lee, Yoon Chan;Kim, Jung A;Choi, So Ron
    • Kosin Medical Journal
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    • v.33 no.2
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    • pp.215-222
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    • 2018
  • An incidentaloma is a tumor found incidentally without clinical symptoms or suspicion; the lesion may be adrenal, pituitary, or thyroidal. We report the case of an asymptomatic individual with preoperatively undiagnosed pheochromocytoma (size: 4.86 cm) that was revealed using elective nonadrenal surgical procedures. The patient demonstrated peri- and post-operative hypertensive crisis and tachycardia. Three days after the dramatic onset of symptoms, the patient expired due to pulmonary edema, multiple organ failure, and terminal sepsis, despite administration of extracorporeal membrane oxygenation-assisted cardiopulmonary resuscitation. A left medial kidney mass obtained at autopsy confirmed pheochromocytoma.

Anti-inflammatory Effect of Bumblebee Alcohol Extracts in CFA-Induced Rat Edema

  • Ahn, Mi Young;Han, Jea Woong;Yoon, Hyung Joo;Hwang, Jae Sam;Yun, Eun Young
    • Toxicological Research
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    • v.28 no.4
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    • pp.249-253
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    • 2012
  • In this study, we prepared alcohol extracts of the larva, pupa, queen, and cocoon (clony) of B. ignitus, B. terrestris, and B. h. sapporoensis, and tested the anti-inflammatory activity of the extracts by using a rat model of adjuvant-induced edema. The extracts derived from the queen of B. ignitus, the queen of B. terrestris, and the cocoon of B. ignitus decreased hind paw edema after 1 day of i.p. administration. These extracts also induced vasorelaxation and NO production in calf pulmonary artery endothelial cells. These results suggest that bumblebee alcohol extracts has anti-inflammatory and vasorelaxant properties.

Heart Failure Occurred during Endoscopic Transthoracic Sympathetic Cauterization -A case report- (흉강경하 교감신경절 소작술중 발생한 심부전 -증례 보고-)

  • Lee, Youn-Woo;Yoon, Duck-Mi;Ahn, Eun-Kyoung;Seouk, Mi-Ja
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.235-238
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    • 1996
  • Hyperhidrosis is the distressing condition of abnormal sweating which affects the palm, sole and axillary region. Transthoracic endoscopic sympathectomy is recommended as the treatment of choice for hyperhidrosis, especially when the upper limbs are affected. We experienced a case of accidental cauterization of right azygos vein in a healthy 23 year old male during endoscopic transthoracic sympathectomy. We changed the single lumen endotracheal tube to a double lumen tube which made it easier to perform the explo-thoracotomy and bleeder ligation under one lung ventilation. Crystalloid and colloid solutions, and packed RBC were loaded during explo-thoracotomy. Monitoring showed the signs indicating pulmonary edema. Pulmonary arterial catheterization revealed global heart failure. The patient was transfered to ICU for intensive management for heart failure. On the 4th postoperative day, pulmonary edema and heart failure were cured; and the patient was extubated. But in the evening of the same day ST-segment elevation and Q-wave were noted on ECG monitoring. On the 13th postoperative day coronary angiography was performed. This revealed left apex focal hypokinesia, patent coronary artery and accidental right coronary spasm, treated by vasodilator. On the 14 day, after surgery, he was discharged to return to work.

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