Tuberculosis and Respiratory Diseases

  • 제51권3호
  • /
  • Pages.265-269
  • /
  • 2001
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

Talc를 이용한 늑막유착술 후 발생한 급성 호흡곤란증후군 1례

A Case of Acute Respiratory Distress Syndrome(ARDS) after Talc Pleurodesis

  • 김기업 (순천향대학교의과대학 내과학교실) ;
  • 차건영 (순천향대학교의과대학 내과학교실) ;
  • 한상훈 (순천향대학교의과대학 내과학교실) ;
  • 윤여일 (순천향대학교의과대학 내과학교실) ;
  • 박성우 (순천향대학교의과대학 내과학교실) ;
  • 김도진 (순천향대학교의과대학 내과학교실) ;
  • 나문준 (건양대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교의과대학 내과학교실) ;
  • 김용훈 (순천향대학교의과대학 내과학교실) ;
  • 박춘식 (순천향대학교의과대학 내과학교실)
  • Kim, Ki-Up (Department of Internal Medicine, Soonchunhyang University) ;
  • Cha, Kun-Young (Department of Internal Medicine, Soonchunhyang University) ;
  • Han, Sang-Hoon (Department of Internal Medicine, Soonchunhyang University) ;
  • Yun, Yeo-Il (Department of Internal Medicine, Soonchunhyang University) ;
  • Park, Sung-Woo (Department of Internal Medicine, Soonchunhyang University) ;
  • Kim, Do-Jin (Department of Internal Medicine, Soonchunhyang University) ;
  • Na, Mun-Jun (Department of Internal Medicine, Kunyang University) ;
  • Uh, Soo-Taek (Department of Internal Medicine, Soonchunhyang University) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, Soonchunhyang University) ;
  • Park, Choon-Sik (Department of Internal Medicine, Soonchunhyang University)
  • 발행 : 2001.09.30
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초록

저자들은 악성 늑막삼출 환자에서 talc로 늑막유착술을 시행하여 급성 호흡곤란증후군을 보인 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Presently talc is one of the agents most commonly used for producing a pleurodesis in patients with either a recurrent pleural effusion or a spontaneous pneumothorax. Talc can be instilled into the pleural space either as an aerosol (insufflation) or as a suspension (slurry) in saline. They are quite effective in producing a pleurodesis. However, they rarely have acute serious adverse effects including acute respiratory distress syndrome, and recently a discussion for using pleurodesis has been reported. We experienced a case of acute respiratory distressed syndrome after talc pleurodesis. A 64 year old man, who was diagnosed lung cancer with a malignant pleural effusion at the same side, was treated by pleurodesis using talc to control the effusion. After 3 days, he suffered fever, chill and breathlessness. The chest P A and CT revealed a bilateral infiltration in both lungs and the blood gas analysis confirmed hypoxemia, which required mechanical ventilation.

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