폐부종을 동반한 왼팔머리정맥 내의 공기 음영

A fifty-seven year old female patient visited the emergency department with tachypnea and a decreased mental status. The patient had been receiving fluid therapy at home and a bolus of air was injected into the fluid bottle in order to increase the infusion speed. Chest computed tomography revealed...

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Veröffentlicht in:Tuberculosis and respiratory diseases 2008, 65(1), 282, pp.57-60
Hauptverfasser: 이승원, 강현희, 김민희, 권혁민, 이지명, 이종율, 오수진, 이상학, 문화식, Lee, Sung Won, Kang, Hyeon Hui, Kim, Min Hee, Kwon, Hyuk Min, Lee, Ji Myoung, Lee, Jong Yul, Oh, Su Jin, Lee, Sang Haak, Moon, Hwa Sik
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Sprache:kor
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Zusammenfassung:A fifty-seven year old female patient visited the emergency department with tachypnea and a decreased mental status. The patient had been receiving fluid therapy at home and a bolus of air was injected into the fluid bottle in order to increase the infusion speed. Chest computed tomography revealed air in the left brachiocephalic vein that was accompanied with pulmonary edema the diagnosis of venous air embolism was made. Venous air embolism can result from various procedures that are performed in almost all clinical specialties and they can be fatal in cases of massive air embolism. Therefore, it is important for all clinicians to be aware of this problem. 공기 색전증은 임상 각 과에서 시행하는 많은 시술을 통하여 흔히 발생할 수 있고 대량의 공기 색전은 치명적일수도 있으므로 어떠한 시술을 시행하던지 공기 색전증의 발생 가능성에 대해서 인식하고 있는 것이 중요하다고 하겠다. 저자들은 수액 주입 속도를 늘리기 위하여 수액병에 주사기를 이용하여 공기를 주입한 후 발생한 빈호흡을 주소로 내원한 환자에서 흉부 컴퓨터 단층촬영상 폐부종을 동반한 왼팔머리정맥내에 공기음영을 발견하여 의인성 공기 색전증을 진단한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
ISSN:1738-3536
2005-6184