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학술저널

흉부 방사선치료의 이력이 있는 기도내관을 유지 중인 환자에게서 발생한 음압성 폐부종과 폐출혈

Negative Pressure Pulmonary Edema and Pulmonary Hemorrhage in an Intubated Patient with Previous Radiation Therapy on Thorax

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Acute upper airway obstruction can cause negative pressure pulmonary edema (NPPE). It is a well-known perianesthetic complication, but is uncommon for intubated patients. Radiation injury of lung can easily lead to pulmonary hemorrhage or NPPE caused by changes of transthoracic or transpulmonary pressure. It is due to injury of alveolar-capillary membrane by radiation. We report the case of a 71-year-old man with a history of radiation therapy for lung cancer after surgical resection who developed the abrupt onset of pulmonary hemorrhage and NPPE during general anesthesia for hydrocele and inguinal hernia operation.

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