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| 증례 : 쇄골하 정맥 삽관후 발생한 혈흉에 의한 급성호흡부전 (Development of ARDS by Hemothorax as a Complication of Subclavian Catheter Insertion) |
| 방병기(Byung Kee Bang),양철우(Chul Woo Yang),박정희(Jung Hee Park),고경근(Kyung Keun Ko),한혜원(Heo Won Han),임현선(Hyun Sun Leem),김용수(Young Soo Kim) |
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| Abstract |
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Subclavian catheters were used in the treatment of chronic renal failure patients waiting for the maturation of AV fistula. But, it sometimes causes fatal complications. Of these, massive bleeding into pleural cavity after subclavian vein cannulation is a rather rare but causes very serious complication. Most of patients with hemothorax are successfully treated with conservative treatment(i.e. pleural drainage, maintaining the circulatory volume, treatment of possible coagulopathy) but it sometimes needs surgery. We recently experienced a case of ARDS complicated by hemothorax which was successfully treated with thracooscopic drainage. We reviewed the pathogenesis of ARDS by hemothorax and suggested the guidlines for the treatment of massive hemothorax using video-assisted thoracoscopic surgery. |
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