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KMID : 1100620230100030333
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Clinical and Experimental Emergency Medicine
2023 Volume.10 No. 3 p.333 ~ p.336
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Acute contralateral reexpansion pulmonary edema within a few hours of pleural drainage
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Yun Gi-Su
Ahn Hong-Joon
Kang Chang-Shin
Park Jung-Soo
You Yeon-Ho
Jeong Won-Joon
Cho Yong-Chul
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Abstract
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We report a case of an 83-year-old male patient with massive tuberculous pleural effusion. Percutaneous drainage was performed following a diagnosis of tuberculous pleurisy. Fifteen minutes into the procedure, the patient’s condition deteriorated suddenly, necessitating mechanical ventilatory support. A chest radiograph performed after intubation showed partial collapse of the affected lung with pneumothorax. Despite sufficient air drainage and lung expansion, the patient’s oxygen demand remained high. A repeat chest radiograph performed 30 minutes after chest tube insertion revealed partial expansion of the affected lung and severe infiltrative patterns in the unaffected lung, suggesting contralateral reexpansion pulmonary edema.
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KEYWORD
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Pleural effusion, Thoracentesis, Pneumothorax, Case reports
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FullTexts / Linksout information
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