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KMID : 0356920110600030221
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Korean Journal of Anesthesiology
2011 Volume.60 No. 3 p.221 ~ p.225
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A case of life-threatening post-operative diffuse alveolar hemorrhage in patient with recent chemotherapy -A case report-
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Kwon Mi-Young
Lee Yoon-Kyung
Choi In-Cheol
Lee Eun-Ho
Kim Nam-Yun
Chang Young-Jae
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Abstract
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A 53-year-old woman who had undergone total gastrectomy and received adjuvant chemotherapy two months ago underwent adhesiolysis of the small bowel. She presented with sudden desaturation and dyspnea of unknown etiology at postanesthetic care unit. Following ET intubation, the endotracheal tube suction revealed massive hemoptysis. Bilateral lung infiltrated on her chest radiograph and bronchofibroscopic examination disclosed a diffuse hemorrhage on both lung fields without bleeding focus. These findings were consistent with diffuse alveolar hemorrhage (DAH) syndrome. As per our knowledge and search, this is the first reported case of DAH that occurred during the recovery period immediately after general anesthesia. DAH is known to have a high mortality rate and an early detection followed by adequate treatment is essential.
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KEYWORD
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Dyspnea, Hemoptysis, Hemorrhage
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