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증례보고 : 소아에서 기관내관의 폐쇄에 의해 발생한 폐부종을 동반한 폐출혈
이수경 ( Soo Kyung Lee ),정승환 ( Seung Hwan Jung ),임종성 ( Jong Sung Im ),장동진 ( Dong Jin Chang ),박지현 ( Ji Hyun Park ),김영미 ( Young Mi Kim ),문현수 ( Hyun Soo Moon ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.5
Negative pressure induced pulmonary edema due to upper airway obstruction is a well-recognized problem. However, negative pressure pulmonary hemorrhage is extremely uncommon. We report a child who developed negative pressure pulmonary hemorrhage following acute airway obstruction caused by clench of endotracheal tube during emergence of anesthesia. The patient was treated with positive pressure ventilation and frequent tracheal suction. Hemorrhage from endotracheal tube was gradually decreased after 4 hours. The patient was extubated after 7 hours. (Korean J Anesthesiol 2009;57:641∼3)