A Case of the Localized Tension Pneumothorax Mimicking Giant Bullae / 결핵
Tuberculosis and Respiratory Diseases
;
: 740-746, 2001.
Artículo
en Coreano
| WPRIM
| ID: wpr-45831
ABSTRACT
Background:
A 35-year-old woman was admitted to the emergency room with sudden dyspnea that developed one day prior. The initial Chest X-ray showed multiple bullous changes at the right middle and lower lung field and long standing fibrotic tuberculous changes at the right upper lung field. The left lung field was totally collapesed by an fibrotic old tuberculous lesion. In spite of supportive medical care with oxygen therapy after admission, the radiographic lesions were no significant change but the respiratory distress had worsend. The patient suffered respiratory failure and receive mechanical ventilatory support. The HRCT showed a localized tension pneumothorax mimicking multiple giant bullae at the right lower lung field. Immediately after a closed thoracostomy with a 32 French chest tube and air drainage, her vital signs and dyspnea were gradually improved. The patient was successfully weaned from mechanical ventilation after 5 days of mechanical ventilatory support. The patient had receive talc pleurodesis through a chest tube to prevent the recurrence of the life-threatening localized pneumothorax. The patient was discharged without recurrence of the pneumothorax.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Neumotórax
/
Recurrencia
/
Respiración Artificial
/
Insuficiencia Respiratoria
/
Talco
/
Tórax
/
Toracostomía
/
Tubos Torácicos
/
Drenaje
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Año:
2001
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS