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폐절제술 중 수술 부위 지혈을 위한 전기 소작에 의해 발생한 심한 저혈압

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Journal Title
Keimyung Medical Journal
Issued Date
2015
Keyword
Key Words : General anesthesiaHilumHypotensionPneumonectomyReflex
Abstract
A 67-year-old man who was diagnosed lung cancer underwent open thoracotomy for left pneumonectomy. For bleeding control, cauterization of hilar site provoked severe hypotension. There were no reasons falling blood pressure such as condition of massive bleeding, excessively deep anesthesia, anaphylaxis or arrhythmia, etc. After interruption of the manipulation, the normal blood pressure returned spontaneously. With the suspicion that the touch of the hilar tissue have induced the hypotension, we used an electrical current carefully; however, the repeat hypotension occurred again and recoverd soon. We conclude that the electrocautery procedures near the hilum may induce the profound hypotension.
Alternative Title
Sudden hypotension following electrocauterization during pneumonectomy under general anesthesia
Publisher
Keimyung University School of Medicine
Citation
최혜진 et al. (2015). 폐절제술 중 수술 부위 지혈을 위한 전기 소작에 의해 발생한 심한 저혈압. Keimyung Medical Journal, 34(1), 84–87.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15667
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2015
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