다수의 정맥용 도관의 피하삽입과 지속흡인을 이용한 다량의 자발성 피하공기증 치료 = The Treatment of Massive Spontaneous Subcutaneous Emphysema by Multiple Intravenous Catheter and Continuous Suction Drainage

다국어 초록 (Multilingual Abstract)

A-61-year-old COPD patient was hospitalized due to dyspnea and was diagnosed with acute exacerbation of COPD. During the hospital stay, the patient`s dyspnea was aggravated by massive spontaneous subcutaneous emphysema. Multiple 16 gauge intravenous catheters were inserted at the midclavicular line for drainage. Although subcutaneous catheter drainage was carried out, respiratory failure developed with an increased in massive subcutaneous emphysema. Continuous suction drainage with wall suction was applied resulting in the rapid resolution of the subcutaneous emphysema. We report a case of the that effective management of massive subcutaneous emphysema using multiple 16 gauge intravenous catheters with continuous suction. (Tuberc Respir Dis 2006; 61: 178-183)

참고문헌 (Reference)

1 Landreneau RJ, "acute management with infraclavicular" chest1992

2 Sherif HM, "The use of subcutaneous drains to manage subcutaneous emphysema" 26 : 129-131, 1999

3 Maunder RJ, "Subcutaneous and mediastinal emphysema:pathophysiology,diagnosis,and management" 144 : 1447-53, 1984

4 Steffey WR, "Spontaneous subcutaneous emphysema of the head,neck,and mediastinum" 100 : 32-5, 1974

5 Hopkins RL, "Spontaneous subcutaneous emphysema" 12 : 463-5, 1994

6 Jabourian Z, "Spontaneous pneumomediastinum and subcutaneous emphysema" 17 : 50-3, 1988

7 Stack BC Jr, "Spontaneous cervical emphysema in a child" 110 : 318-23, 1994

8 Parker GS, "Spontaneous cervical and mediastinal emphysema" 100 : 938-40, 1990

9 Beck PL, "Simple construction of a subcutaneous catheter for treatment of severe subcutaneous emphysema" 121 : 647-649, 2002

10 Kelly MC, "Relief of tension subcutaneous emphysema using a large bore subcutaneous drain" 50 : 1077-1079, 1995

11 Terada Y, "Palliation of severe subcutaneous emphysema with use of a trocar-type chest tube as a subcutaneous drain" 103 : 323-, 1993

12 Kirsh MM, "Mediastinal and subcutaneous emphysema complicating acute bronchial asthma" 57 : 580-1, 1970

13 Leo F, "Efficacy of microdrainage in severe subcutaneous emphysema" 122 : 1498-1499, 2002

14 Conetta R, "Acute vantilatory failure from massive subcutaneous emphysema" 104 : 978-80, 1993

15 Nair KK, "A simple method of palliation for gross subcutaneous surgical emphysema" 34 : 163-4, 1989