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KMID : 0604020140290040344
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 4 p.344 ~ p.347
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Lobar Bronchial Rupture with Persistent Atelectasis after Blunt Trauma
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Kim Jun-Hyun
Kim Kyung-Woo
Cho Chu-Sung
Lee Sang-Il
Kim Ji-Yeon
Kim Kyung-Tae
Choe Won-Joo
Park Jang-Su
Kim Jung-Won
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Abstract
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Rupture limited to the lobar bronchus from blunt trauma is especially rare, and the symptoms are light so diagnosis is difficult. In a patient who visited the hospital complaining of shortness of breath after falling down, atelectasis continued in the chest x-ray. Four days after visiting the hospital, a left upper lobar bronchial rupture was diagnosed through a bronchoscopy and 3 dimensional chest computerized tomography. When diagnosis is delayed in the case of a rupture limited to the lobar bronchus, bronchial obstruction can occur from the formation of granulation tissue, so regular monitoring is important. Therefore, when atelectasis continues after blunt trauma, it is important to differentially diagnose a lobar bronchial rupture through tests such as bronchoscopy.
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KEYWORD
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bronchoscopy, lung injury, pulmonary atelectasis
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FullTexts / Linksout information
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Listed journal information
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