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기계환기 치료 없이 회복한 신종플루에 의한 급성호흡곤란 증후군 -증례 보고-H1N1 Influenza/A Associated ARDS Recovered without Mechanical Ventilatory Support -A Case Report-

Authors
이병욱이재희박성운김보민최재철신종욱박인원최병휘김재열
Issue Date
2011
Publisher
대한중환자의학회
Keywords
ARDS; H1N1; pneumonia
Citation
Acute and Critical Care, v.26, no.2, pp 114 - 116
Pages
3
Journal Title
Acute and Critical Care
Volume
26
Number
2
Start Page
114
End Page
116
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/27875
ISSN
2586-6052
2586-6060
Abstract
An eighteen year-old female visited the ER in our hospital with fever of 38.5℃ for 2 days. She also had cough, myalgia, and dyspnea. Chest PA and lung HRCT showed mild pulmonary edema at both hilar areas. However, she had severe hypoxia (PaO_2; 58 mmHg in room air). RT-PCR for H1N1 influenza/A of pharyngeal swab was positive. Tamiflu (150 mg/d) with broad-spectrum antibiotics was prescribed. Two days later, her dyspnea aggravated and chest PA showed diffuse bilateral infiltration. PaO_2 dropped to 70 mmHg (O_2 10 L/min by face mask with reservoir bag). She was transferred to the MICU and the Tamiflu dose was doubled (300 mg/day). Mechanical ventilator was set aside to prepare respiratory failure. Fortunately, her symptoms and oxygenation improved and she was discharged with full recovery. Although, most cases of ARDS require mechanical ventilatory support, early and adequate dose of Tamiflu may avoid it in the case of ARDS developed by H1N1 influenza/A.
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