KMID : 0383820090670010059
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Tuberculosis and Respiratory Diseases 2009 Volume.67 No. 1 p.59 ~ p.62
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A Case of Focal Reexpansion Pulmonary Edema after Chest Tube Insertion
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Chung Hye-Kyoung
Kim Yang-Ki Lee Young-Mok Kim Ki-Up Uh Soo-Taek Jang Won-Ho Hwang Jeong-Hwa
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Abstract
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Reexpansion pulmonary edema is not a common phenomenon after chest tube insertion but some reports from 0% to 14%. There are various resulting complications, including acute respiratory distress syndrome. We report a case of focal reexpansion pulmonary edema after chest tube insertion. A 49-year-old male came to the hospital due to ongoing dyspnea and left chest pain for 3 days. On chest X-ray, the patient had a left pneumothrax. We planned to insert a chest tube for symptom relief. To determine whether or not the chest had expanded as a result of the chest tube insertion, the patient underwent repeated chest X-rays the following day. The patient experienced brief respiratory symptoms upon initial suction; a chest PA showed patchy consolidated infiltration at the inserted site. After 5 days of conservative management, the recovered completely.
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KEYWORD
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Reexpansion pulmonary edema, Pneumothorax, Chest tube insertion
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