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상복부 수술후 회복기에 돌발된 폐색전증 -증례 보고-

Other Titles
 Pulmonary thromboembolism developed in recovery period of upper abdominal surgery 
Authors
 이종화  ;  방은치  ;  남순호  ;  고신옥  ;  이우정 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.33(3) : 567-571, 1997 
Journal Title
 Journal of Korean Society of Anesthesiologist (대한마취과학회지) 
ISSN
 0302-5780 
Issue Date
1997
Keywords
Complications, postoperative, syncope ; Embolism, thromboembolism ; Surgery, abdominal
Abstract
Pulmonary thromboembolism (PTE) is a serious postoperative complication. Prompt diagnosis of PTE is important but it is difficult because clinical manifestations of PTE are not obvious in most cases. A 59 year-old woman received cholecystectomy and choledocholithotomy under general anesthesia. At the 9th postoperative day, syncope, hypoxemia and hypotension were developed suddenly and the patient was transfered to intensive care unit. PTE was suspected with hemodynamic monitoring from pulmonary arterial catheter and echocardiography and diagnosed with lung perfusion scan and venogram of lower extremities. Proper cardiopulmonary support was done and the patient was recovered and discharged in improved condition. In conclusion, if a patient have syncopal attack with shock in postoperative period, PTE must be thought to be an one of possible causes of syncope and thoroughly investigated.
Files in This Item:
T199701147.pdf Download
DOI
10.4097/kjae.1997.33.3.567
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Koh, Shin Ok(고신옥)
Nam, Soon Ho(남순호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177563
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