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기도내 이물(낌) 제거후 발생한 급성 재확장성 폐부종 1치험례

이동건1, 이재우1, 이일우1, 왕수건1
Dong-Gun Lee1, Jae-Woo Lee1, Il-Woo Lee1, Soo-Geun Wang1
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1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea

© Copyright 1996 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Inhalation of a foreign body into the repiratory tract is somtimes frequent in children, and shows atelectatic or emphysematous pulmonary conditions. Inhalation of foreign body is more common in the younger than 3 years old, and left bronchus is more involved than right at younger than 7 years old. Airway foreign body is regarded as life threatening condition and requires emergent treatment for example bronchoscopie removal, although most foreign bodies are successfully removed without any severe cardiopulmonary complications.

Recently, we have experienced 3 year-old-boy who developed acute reexpansion pulmonary edema after removal of bronchial foreign body (chewing gum), and treated that patient with immediate respiratory supportive care and recovered completely without any sequelae.

Keywords: Bronchial boreign body; Chewing gum; Pulmonary edema


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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