초록접수 현황
| 16F-060 | 포스터 발표 |
ARDS after Bilobectomy due to Bronchial Rupture cause Falling down Injury
Young Sam Kim¹, Joung Teak Kim¹, Wan Ki Baek¹, Jin Hwea Beak², Jung Soo Kim³, Yong Han Yoon¹
¹Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea, ²Emergency Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea, ³Internal Medicine3, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
Background : Bronchial rupture due to fall down injury are rare with serious complication which are tension pneumothorax, respiratory distress, difficulties in establishing an airway, and high frequently of associated multiple organ injuries.
Methods : A previously healthy 24-year-old man fell from heights of 10 meters. After chest tube-drainage, massive air leak and pneumothorax of the right lung was continued that was suspected ruptured tracheobronchial tree. Operation was performed 5 hours after patient’s ER arrival. The complete ruptured right middle lobe bronchus and the laceration of the lower pulmonary artery were identified during operation, and bilobecotomy (the middle and lower lobe) was performed.
Results : The patient have been ARDS that was performed ECMO immediate postoperative day, tracheostomy postoperative 21 days, transfer to general ward postoperative 41 days, dental operation postoperative 46 days.
Conclusion : We reported a case of ruptured the middle lobe bronchus and ARDS cause by fall down injury by conducting veno-veno ECMO as support for an immediate postoperative ARDS that patient discharged postoperative sixth four day.
Methods : A previously healthy 24-year-old man fell from heights of 10 meters. After chest tube-drainage, massive air leak and pneumothorax of the right lung was continued that was suspected ruptured tracheobronchial tree. Operation was performed 5 hours after patient’s ER arrival. The complete ruptured right middle lobe bronchus and the laceration of the lower pulmonary artery were identified during operation, and bilobecotomy (the middle and lower lobe) was performed.
Results : The patient have been ARDS that was performed ECMO immediate postoperative day, tracheostomy postoperative 21 days, transfer to general ward postoperative 41 days, dental operation postoperative 46 days.
Conclusion : We reported a case of ruptured the middle lobe bronchus and ARDS cause by fall down injury by conducting veno-veno ECMO as support for an immediate postoperative ARDS that patient discharged postoperative sixth four day.
책임저자: Yong Han Yoon
Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
발표자: Yong Han Yoon, E-mail : yoonkwon@inha.ac.kr