Noh Dongsub, Park Joon Suk, Lee Doo Yun
Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University.
Korean J Thorac Cardiovasc Surg. 2017 Feb;50(1):64-67. doi: 10.5090/kjtcs.2017.50.1.64. Epub 2017 Feb 5.
A 52-year-old male patient who underwent multiple wedge resections experienced postoperative acute respiratory distress syndrome in both lungs after pleurodesis. Despite initial rapid deterioration in clinical condition and rapid progression of bilateral lung infiltration, he exhibited a relatively smooth clinical recovery with marked response to glucocorticoid treatment. Our case report suggests that care must be taken to guard against the development of acute respiratory complications in the use of for pleurodesis. However, in view of the clinically benign course, initial aggressive management of complications can prevent suffering and sequelae.
一名52岁男性患者接受了多次楔形切除术，在胸膜固定术后出现双肺术后急性呼吸窘迫综合征。尽管临床状况最初迅速恶化且双侧肺部浸润迅速进展，但他对糖皮质激素治疗反应显著，临床恢复相对顺利。我们的病例报告表明，在使用胸膜固定术时必须注意预防急性呼吸并发症的发生。然而，鉴于临床过程良性，对并发症进行早期积极处理可避免痛苦和后遗症。
