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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.70 No.1
- 발행연도
- 2017.1
- 수록면
- 86 - 89 (4page)
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초록· 키워드
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Hemoptysis is a common complication of pulmonary tuberculosis. Most of the cases of hemoptysis originate from hypertrophied bronchial arteries. Also, diabetes induces pulmonary vascular abnormalities such as endothelial dysfunction, inflammatory infiltration and pulmonary vascular remodeling. A 27-year-old male, with diabetes and a history of tuberculosis, underwent the procedure of pars plana vitrectomy under general anesthesia. After an uneventful intra-operative period, he had hemoptysis prior to extubation. Emergency fiberoptic bronchscopy showed blood plugs and spotted fresh blood at the right upper lobar bronchus. After successful embolization of the bronchial artery, the patient made a recovery and was discharged without experiencing any complication. Predisposing factors of hemoptysis in this case are presumed to be tuberculosis and diabetes. The bleeding might had been caused by the rupture of a weakened artery within the cavity in the right upper lobe, through expansion of the lung during manual ventilation by positive pressure.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Wang YL / 2000 / Massive hemoptysis after the initiation of positive pressure ventilation in a patient with pulmonary tuberculosis / Anesthesiology 92:1480~1482
Johnson JL / 2002 / Manifestations of hemoptysis. How to manage minor, moderate, and massive bleeding / Postgrad Med 112:101~106
Restrepo BI / 2011 / Cross-sectional assessment reveals high diabetes prevalence among newly-diagnosed tuberculosis cases / Bull World Health Organ 89:352~359
Dooley KE / 2009 / Tuberculosis and diabetes mellitus: convergence of two epidemics / Lancet Infect Dis 9:737~746
Casqueiro J / 2012 / Infections in patients with diabetes mellitus: A review of pathogenesis / Indian J Endocrinol Metab 16(Suppl 1):S27~S36
Johnson JL / 2002 / Manifestations of hemoptysis. How to manage minor, moderate, and massive bleeding / Postgrad Med 112:101~106
Restrepo BI / 2011 / Cross-sectional assessment reveals high diabetes prevalence among newly-diagnosed tuberculosis cases / Bull World Health Organ 89:352~359
Dooley KE / 2009 / Tuberculosis and diabetes mellitus: convergence of two epidemics / Lancet Infect Dis 9:737~746
Casqueiro J / 2012 / Infections in patients with diabetes mellitus: A review of pathogenesis / Indian J Endocrinol Metab 16(Suppl 1):S27~S36
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