장폐쇄 수술환자에서 기관내삽관중 발생한 흡인성폐염 -증례보고
Aspiration Pneumonitis by regurgitation during Laryngoscopy in the Patient with mechanical Ileus - a case report-
대한구급의학회지 1995년 10권 2호 p.129 ~ 132
정성수, 김태석, 임신호,
소속 상세정보
정성수 ( )
전남대학교
김태석 ( )
전남대학교
임신호 ( )
전남대학교
KMID : 0356019950100020129
Abstract
Aspiration pneumonitis is one of the most serious complications of general anesthesia. Intestinal obstruction, anatomicla changes of airway, extremes of age, pregnancy, and emergency operation are predisposing conditions of aspiration
pneumonitis.
Forty-six year-old male patient underwent band lysis under the diagnosis of mechanical ileus. During laryngoscopy for endotracheal intubation, gastric contents in the oropharynx and larynx were observed. Arterial oxygen saturation detected by
pulse
was
maintained 90 to 95% during general anesthesia. After the operation, patients showed tachypneic(30~40rates/min), tachycardiac(120~125 beats/min) and febrile(38.3°C) condition. We made a diagnosis of pulmonary aspiration and secondary bacterial
pneumonitis, and successfully treated him for aspiration pneumonitis with mechanical ventilator with PEEP(8!12 mmHg), antibiotics and other conservative treatments.
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