Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Severe Asthma Complicated with Pneumoperitoneum and Pneumomediastinum During AMBU Ventilation

AMBU(Air Mask Bag Unit) 환기로 복강기종과 종격동기흉이 합병된 중증 천식 1예

  • Cho, Hoon (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Choi, Byoung-Moon (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Jung, Ho-Kyoung (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Park, Ja-Young (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Jang, Byoung-II (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • SunWoo, Mi-Ok (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Seo, Chan-Hee (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Sung, Han-Dong (Department of Internal Medicine, Wallace Memorial Baptist Hospital) ;
  • Sin, Mi-Jeong (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital) ;
  • Hwang, Soon-Chul (Department of Internal Medicine, Wallace Memorial Baptist Hospital)
  • 조훈 (왈레스 기념 침례병원 내과) ;
  • 최병문 (왈레스 기념 침례병원 내과) ;
  • 정호경 (왈레스 기념 침례병원 내과) ;
  • 박자영 (왈레스 기념 침례병원 내과) ;
  • 장병일 (왈레스 기념 침례병원 내과) ;
  • 선우미옥 (왈레스 기념 침례병원 내과) ;
  • 서찬희 (왈레스 기념 침례병원 내과) ;
  • 성한동 (왈레스 기념 침례병원 내과) ;
  • 신미정 (왈레스 기념 침례병원 진단방사선과) ;
  • 황순철 (왈레스 기념 침례병원 내과)
  • Published : 2001.12.30
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Abstract

Pneumoperitoneum, Pneumomediastinum, subcutaneous emphysema and a pneumothorax are some of the mechanical complications of bronchial asthma. The incidence of pneumoperitoneum during an attack of acute asthma is rare. The pathogenesis is free gas track from the overdistended alveoli, through the bronchovascular sheaths to the mediastinum. If the high pressure is maintained, air can escape retroperitoneally into the abdomen and burst into the peritoneal cavity. A 43-year-old woman was admitted due to a severe asthma attack. She was required endotracheal intubation and AMBU(air mask bag unit) ventilation. Immediately after these procedures, pneumoperitonewn, pnewnomediastinwn, and subcutaneous emphysema developed. She was treated with mechanical ventilation and medical therapy. The pneumoperitonewn was resolved after 27days. Here, we report this case with the review of the relevant literature.

저자들은 심한 천식발작으로 내원한 43세 여자환자에서 응급 기관내 삽관 및 AMBU 양압환기에 종격동기흉, 복강기종, 후복강기종 및 피하기종이 합병되었으나 내과적 치료로 회복된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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