유착성 장폐색증 환자에서 마취 유도중에 발생한 위 내용물 흡인에 의한 대량 미만성 폐포 출혈 -증례 보고-Massive Diffuse Alveolar Hemorrhage Caused by the Aspiration of Gastric Contents during Induction of Anesthesia in Patients with Adhesive Ileus -A Case Report-
- Other Titles
- Massive Diffuse Alveolar Hemorrhage Caused by the Aspiration of Gastric Contents during Induction of Anesthesia in Patients with Adhesive Ileus -A Case Report-
- Authors
- 정지선; 송효진; 유희구; 전종헌
- Issue Date
- May-2012
- Publisher
- 대한중환자의학회
- Keywords
- acute respiratory distress syndrome; aspiration pneumonitis; diffuse alveolar hemorrhage.
- Citation
- Acute and Critical Care, v.27, no.2, pp.115 - 119
- Indexed
- KCI
OTHER
- Journal Title
- Acute and Critical Care
- Volume
- 27
- Number
- 2
- Start Page
- 115
- End Page
- 119
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/165629
- DOI
- 10.4266/kjccm.2012.27.2.115
- ISSN
- 2586-6052
- Abstract
- Aspiration pneumonitis is best defined as an acute lung injury, following the aspiration of regurgitated gastric contents. Major cause of pulmonary aspiration, during anesthesia, is gastric contents. Pulmonary aspiration can present symptoms of wheezing, coughing, dyspnea, cyanosis, pulmonary edema, hypotension, and hypoxemia, which may progress rapidly to severe acute respiratory distress syndrome (ARDS). However, there was no report of massive alveolar hemorrhage associated with aspiration pneumonitis. A 63-year-old man, who had undergone a total gastrectomy and received adjuvant chemotherapy, four months ago, was scheduled for adhesiolysis of the small bowel. The patient occurred aspiration of gastric contents, during induction of anesthesia, and subsequently, hypoxia developed during surgery. The patient moved to an intensive care unit (ICU), without extubation. Mechanical ventilation with PEEP was performed in an ICU. However, the patient died by ARDS and massive alveolar hemorrhage.
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