Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Air in the Left Brachiocephalic Vein Accompanied with Pulmonary Edema

폐부종을 동반한 왼팔머리정맥 내의 공기 음영

  • Lee, Sung Won (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kang, Hyeon Hui (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kim, Min Hee (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Kwon, Hyuk Min (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Ji Myoung (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Jong Yul (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Oh, Su Jin (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Lee, Sang Haak (Department of Internal Medicine, The Catholic University of Korea, College of Medicine) ;
  • Moon, Hwa Sik (Department of Internal Medicine, The Catholic University of Korea, College of Medicine)
  • 이승원 (가톨릭대학교 의과대학 내과학교실) ;
  • 강현희 (가톨릭대학교 의과대학 내과학교실) ;
  • 김민희 (가톨릭대학교 의과대학 내과학교실) ;
  • 권혁민 (가톨릭대학교 의과대학 내과학교실) ;
  • 이지명 (가톨릭대학교 의과대학 내과학교실) ;
  • 이종율 (가톨릭대학교 의과대학 내과학교실) ;
  • 오수진 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실)
  • Received : 2008.06.19
  • Accepted : 2008.07.04
  • Published : 2008.07.30
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Abstract

A fifty-seven year old female patient visited the emergency department with tachypnea and a decreased mental status. The patient had been receiving fluid therapy at home and a bolus of air was injected into the fluid bottle in order to increase the infusion speed. Chest computed tomography revealed air in the left brachiocephalic vein that was accompanied with pulmonary edema the diagnosis of venous air embolism was made. Venous air embolism can result from various procedures that are performed in almost all clinical specialties and they can be fatal in cases of massive air embolism. Therefore, it is important for all clinicians to be aware of this problem.

공기 색전증은 임상 각 과에서 시행하는 많은 시술을 통하여 흔히 발생할 수 있고 대량의 공기 색전은 치명적일수도 있으므로 어떠한 시술을 시행하던지 공기 색전증의 발생 가능성에 대해서 인식하고 있는 것이 중요하다고 하겠다. 저자들은 수액 주입 속도를 늘리기 위하여 수액병에 주사기를 이용하여 공기를 주입한 후 발생한 빈호흡을 주소로 내원한 환자에서 흉부 컴퓨터 단층촬영상 폐부종을 동반한 왼팔머리정맥내에 공기음영을 발견하여 의인성 공기 색전증을 진단한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

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