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복강경하 부분 간 절제술 시 발생한 긴장성 이산화탄소 기흉 - 증례 보고 -

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Author(s)
이한민이용철김진모Han Min LeeYong Cheol LeeJin Mo Kim
Keimyung Author(s)
Lee, Yong CheolKim, Jin Mo
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학회지
Issued Date
2007
Volume
53
Issue
1
Abstract
Pneumothorax is a rare and potentially serious complication that can be occurred during laparoscopic surgery. This is a case report of a 34-year-old man who underwent elective laparoscopic partial hepatectomy under general anesthesia. About 45 min after carbon dioxide pneumoperitoneum, hypotension, tachycardia, decreased oxygen saturation, increased peak inspiratory pressure, increased end-tidal CO2 tension, hypercapnia, and hypoxemia were suddenly developed. Altering for the worse vital sign was owing to tension pneumothorax by accidental CO2 influx through inadvertently perforated diaphragm. Repairing diaphragm under open laparotomy, positive manual bagging was effectively applied enough not to require surgical drainage. Therefore, closed observation and careful monitoring is essential to prevent tension pneumothorax during laparoscopic surgery. (Korean J Anesthesiol 2007; 53: 132~5) / Key Words: carbon dioxide, complication, laparoscopy, tension pneumothorax.
Alternative Title
Tension Carbon Dioxide Pneumothorax Developed during Laparoscopic Partial Hepatectomy - A case report -
Keimyung Author(s)(Kor)
이용철
김진모
Publisher
School of Medicine
Citation
이한민 et al. (2007). 복강경하 부분 간 절제술 시 발생한 긴장성 이산화탄소 기흉 - 증례 보고 -. 대한마취과학회지, 53(1), 132–135. doi: 10.4097/kjae.2007.53.1.132
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2007.53.1.132
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40122
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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