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좌전폐적출술중 발생한 심한 무기폐

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Author(s)
최규택김명한전재규
Keimyung Author(s)
Choi, Kyu TaekCheun, Jae Kyu
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Keimyung Medical Journal
Issued Date
1990
Volume
9
Issue
2
Keyword
AtelectasisPneumonectomyEndotracheal tube double-lumen tube
Abstract
Pulmonary atelectasis is a common complication following surgery under general anesthesia. It is well documented for the anesthetic procedure to incur diffuse microatelectasis. However profound pulmonary collapse are rare. Total or segmental lung collapses are usually resulted from the obstruction of bronchial pathway by secretions such as mucus, blood and pus etc. We had a case of profound atelectasis developed during the left pneumonectomy of bronchiectasis. Secretions with copious pus was noticed which the lungs were surgically manipulated and vigorous suction through the endotracheal tube was carried out. However a spillage of pus into the dependent lung could not be prevented. We assumed that the cause of the atelectasis was an obstruction of the left bronhus by pus drained from the surgical lesions. With a conventional single-lumen endotracheal tube it is very difficult to separate two lungs and prevent a spillage of pus into a healthy dependent lung. Therefore we recommend the use a double-lumen tube to prevent such a complication and also facilitate better surgical field.
Alternative Title
Profound Atelectasis During Pneumonectomy
Keimyung Author(s)(Kor)
최규택
전재규
Publisher
Keimyung University School of Medicine
Citation
최규택 et al. (1990). 좌전폐적출술중 발생한 심한 무기폐. Keimyung Medical Journal, 9(2), 263–268.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/14633
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1990
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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