단순 흉부 X-선에서 기흉으로 오인된 거대 폐기종 1례

A 49-year-old male presented with a giant bullous emphysematous lung mimicking a pneumothorax. The initial chest X-ray revealed that the left lung was totally collapsed. A chest tube was inserted at the emergency room, after that an iatrogenic pneumothorax developed. The HRCT showed giant bullous em...

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Published inTuberculosis and respiratory diseases Vol. 55; no. 2; pp. 211 - 216
Main Authors 이현경, 나종천, 이성순, 류석종, 이영민, 진재용, 이혁표, 최수전, 염호기, Lee, Hyun-Kyung, Na, Jong Chun, Lee, Sung Soon, Ryu, Seok Jong, Lee, Young Min, Jin, Jae Yong, Lee, Hyuk Pyo, Choi, Soo Jeon, Yum, Ho-Kee
Format Journal Article
LanguageKorean
Published 대한결핵및호흡기학회 01.08.2003
Subjects
내과학
Pneumothorax
Giant bullous emphysema
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Summary:A 49-year-old male presented with a giant bullous emphysematous lung mimicking a pneumothorax. The initial chest X-ray revealed that the left lung was totally collapsed. A chest tube was inserted at the emergency room, after that an iatrogenic pneumothorax developed. The HRCT showed giant bullous emphysema mimicking a pneumothorax. The pneumothorax spontaneously resolved without special treatment. His bullous lesion had remained unchanged until last follow-up. 거대 물집성 폐기종은 그 자체로 환자에게 심한 호흡곤란을 유발할 수 있는 질환이고 기흉이 동반되는 확률이 높아 이 두 상태를 감별하는 것이 매우 중요하다. 저자들은 우연히 발견된 거대 물집성 폐기종이 기흉으로 오인되어 흉관삽입술을 시행받고 이차적으로 기흉이 발생하였다가 보존적 치료로 회복된 1예를 경험하였기에 이를 보고하는 바이다.
Bibliography:KISTI1.1003/JNL.JAKO200330939758472
G704-000421.2003.55.2.004
ISSN:1738-3536
2005-6184