Neonatal Medicine

  • 제18권2호
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  • Pages.387-390
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  • 2011
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  • 2287-9412(pISSN)
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  • 2287-9803(eISSN)
대한신생아학회 (The Korean Society of Neonatology)
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Iatrogenic Esophageal Perforation: An Occurrence from Feeding Tube Placement in a Premature Infant with a Pneumothorax

  • Jang, Yeong-Uk (Department of Pediatrics, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Jang, Woo-Jung (Department of Pediatrics, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Cho, Hye-Jung (Department of Pediatrics, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Choi, Duk-Young (Department of Pediatrics, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Shim, So-Yeon (Department of Pediatrics, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Son, Dong-Woo (Department of Pediatrics, Graduate School of Medicine, Gachon University of Medicine and Science)
  • 발행 : 2011.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

식도천공은 신생아에서 드문 질환이다. 그러나 영양관 삽관으로 인한 의인성 식도천공은 미숙아에서는 특히 드물지 않게 나타난다. 의인성 식도천공은 기흉같은 심한 합병증을 유발하며 사망을 일으킬 수 있다. 일반적으로 식도천공의 결과로 기흉이 발생하는 것으로 알려져있다. 반면에, 저자들은 기흉이 먼저 병발하고 이 후 의인성으로 발생한 식도천공을 경험하였다. 증례의 식도천공은 환아에게 기흉이 발생한 채로 영양관을 삽관하여 야기되었다. 기흉이 있는 상태에서 영양관 삽관을 고려할 때는 더 심사숙고 하여야 할 것이다.

Spontaneous neonatal esophageal perforation (EP) is a rare condition. However, iatrogenic EP due to a feeding tube is not uncommon, particularly in premature infants. Iatrogenic EP can result in serious complications, such as a pneumothorax, and can be fatal. Usually a pneumothorax develops as a result of EP. However, we experienced an EP in a patient with a pneumothorax. The EP occurred after inserting a feeding tube while the patient was suffering from a pneumothorax. Thus care is needed when inserting the feeding tube in a patient with a pneumothorax.

키워드

참고문헌

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피인용 문헌

  1. Bronchial Perforation Complicating Endotracheal Intubation in an Extremely Low Birth Weight Infant vol.19, pp.3, 2011, https://doi.org/10.5385/jksn.2012.19.3.154