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Korean J Crit Care Med > Volume 25(3); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(3): 159-162. doi: https://doi.org/10.4266/kjccm.2010.25.3.159
물혹을 지니고 있는 환자에서 기흉의 조기 감압 후에 발생한 재확장성 폐부종 -증례 보고-
전남대학교 의과대학 마취통증의학교실
Reexpansion Pulmonary Edema Following the Early Decompression of Pneumothorax Occurred after Anesthetic Induction in a Patient with Lung Bulla: A Case Report
Hye Jin Jeung, Hyun Jung Lee, Seok Jai Kim, Sang Hyun Kwak
Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea. shkwak@chonnam.ac.kr
When a rapidly re-expanding lung has been in a state of collapse for more than several days, pulmonary edema sometimes occurs. This is called reexpansion pulmonary edema. In general, it most commonly occurs in patients with a large pneumothorax of long duration. In this case, a 15 year old female patient with a 2.3 cm sized bulla in the right lung developed right pneumothorax after anesthetic induction. Although early drainage by closed thoracostomy was performed, right pulmonary edema eventually occurred. It is unusual that vigorous reexpansion pulmonary edema developed even though early decompression was performed within one hour after development of pneumothorax.
Key Words: bulla; decompression; pneumothorax; pulmonary edema; reexpansion
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