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거대 폐기포 (giant bulla)로 오진된 국소형 긴장성 자발 기흉
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  • 거대 폐기포 (giant bulla)로 오진된 국소형 긴장성 자발 기흉
저자명
고혁,박성오,김수희,박완,박종빈,김종욱,류대식,정복현,Ko. Hyuk,Park. Sung-Ho,Kim. Su-Hee,Park. Wan,Park. Chong-Bin,Kim. Jong-Wook,Ryu. Dae-Sik,Jung. Boc
간행물명
결핵 및 호흡기 질환
권/호정보
2001년|50권 6호|pp.740-746 (7 pages)
발행정보
대한결핵및호흡기학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Background : A 35-year-old woman was admitted to the emergency room with sudden dyspnea that developed one day prior. The initial Chest X-ray showed multiple bullous changes at the right middle and lower lung field and long standing fibrotic tuberculous changes at the right upper lung field. The left lung field was totally collapsed by an fibrotic old tuberculous lesion. In spite of supportive medical care with oxygen therapy after admission, the radiographic lesions were no significant change but the respiratory distress had worsened. The patient suffered respiratory failure and received mechanical ventilatory support. The HRCT showed a localized tension pneumothorax mimicking multiple giant bullae at the right lower lung field. Immediately after a closed thoracostomy with a 32 French chest tube and air drainage, her vital signs and dyspnea were gradually improved. The patient was successfully weaned from mechanical ventilation after 5 days of mechanical ventilatory support. The patient had received talc pleurodesis through a chest tube to prevent the recurrence of the life-threatening localized pneumothorax. The patient was discharged without recurrence of the pneumothorax.