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신종플루 감염 소아에서 발생한 자발성 기종격과 피하기종 - 증례 보고 -

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Author(s)
최보금윤혜정김여향현명철
Keimyung Author(s)
Kim, Yeo Hyang
Department
Dept. of Pediatrics (소아청소년학)
Journal Title
대한중환자의학회지
Issued Date
2010
Volume
25
Issue
3
Keyword
ChildEmphysemaInfluenzaPneumomediastinum
Abstract
Spontaneous pneumomediastinum (SPM) is a rare condition in children which is triggered by respiratory infection
and inflammation, although it occurs most commonly in asthmatics. It is caused by alveolar rupture and dissection
of air into the mediastinum and hilum, and the prognosis is usually benign. We report two cases of SPM and subcutaneous
emphysema complicating pneumonia in children with severe H1N1 infection. The patients were admitted
to the intensive care unit and treated with oxygen, inhalation of a bronchodilator, intravenous systemic corticosteroid
(methyprednisolone, 2 mg/kg/day for 5 days) and antibiotics, together with antiviral therapy. On day 4 after admission,
there was no further evidence of SPM. SPM associated with severe H1N1 infection in children resolves with
aggressive supportive care, without progression to pneumothorax. We should remain aware of this air leak complication
in children with severe respiratory infection.
Alternative Title
Spontaneous Pneumomediastinum and Subcutaneous
Emphysema in Children Infected with H1N1 Virus
Keimyung Author(s)(Kor)
김여향
Publisher
School of Medicine
Citation
최보금 et al. (2010). 신종플루 감염 소아에서 발생한 자발성 기종격과 피하기종
- 증례 보고 -. 대한중환자의학회지, 25(3), 155–158. doi: 10.4266/kjccm.2010.25.3.155
Type
Article
ISSN
1229-4802
DOI
10.4266/kjccm.2010.25.3.155
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39630
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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