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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.2
- 발행연도
- 2015.1
- 수록면
- 184 - 187 (4page)
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초록· 키워드
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We present a case of an alveolar-pleural fistula with hepatic hydrothorax in a patient undergoing orthotropic liver transplantation,which was detected by drainage of transudate through an endotracheal tube during operation. A standard endotrachealtube was changed to a double-lumen tube to provide differential lung ventilation. The patient was diagnosedwith an alveolar-pleural fistula by direct vision of an air leak during positive-pressure ventilation through a diaphragmaticincision. There was still a concern about worsening his ventilation due to persistent aspiration of pleural effusiontowards the ipsilateral lung during the remaining operation period. Surgeon repaired the defect on the exposed lungsurface via diaphragmatic opening. Anesthesiologists should consider an alveolar-pleural fistula as a possible differentialdiagnosis with re-expansion pulmonary edema when transudate emanating from the endotracheal tube is obtained inpatients with massive hydrothorax.
목차
등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Strauss RM / 1997 / Hepatic hydrothorax / Semin Liver Dis 17:227~232
Cárdenas A / 2007 / Management of ascites and hepatic hydrothorax / Best Pract Res Clin Gastroenterol 21:55~75
Ginès P / 2004 / Management of cirrhosis and ascites / N Engl J Med 350:1646~1654
Roussos A / 2007 / Hepatic hydrothorax : pathophysiology diagnosis and management / J Gastroenterol Hepatol 22:1388~1393
Kirsch CM / 1991 / Case report : hepatic hydrothorax without ascites / Am J Med Sci 302:103~106
Cárdenas A / 2007 / Management of ascites and hepatic hydrothorax / Best Pract Res Clin Gastroenterol 21:55~75
Ginès P / 2004 / Management of cirrhosis and ascites / N Engl J Med 350:1646~1654
Roussos A / 2007 / Hepatic hydrothorax : pathophysiology diagnosis and management / J Gastroenterol Hepatol 22:1388~1393
Kirsch CM / 1991 / Case report : hepatic hydrothorax without ascites / Am J Med Sci 302:103~106
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