CAJ | 학술논문

目的：探讨开胸手术中单侧肺萎陷、术后肺复张导致急性肺水肿的发病机理、诊断治疗及预防。方法：对5例开胸术后复张性肺水肿患者进行总结，3例为胸腔镜辅助下胸膜固定术后，2例为食管癌根治术后。结果：常规单侧肺萎陷的开胸手术均可能发生轻重不一的复张性肺水肿。结论：可通过术中定期（以间隔30 min为宜）肺复张以及术后渐进性肺复张等措施来减低复张性肺水肿的发生率。
목적：탐토개흉수술중단측폐위함、술후폐복장도치급성폐수종적발병궤리、진단치료급예방。방법：대5례개흉술후복장성폐수종환자진행총결，3례위흉강경보조하흉막고정술후，2례위식관암근치술후。결과：상규단측폐위함적개흉수술균가능발생경중불일적복장성폐수종。결론：가통과술중정기（이간격30 min위의）폐복장이급술후점진성폐복장등조시래감저복장성폐수종적발생솔。
Objective:To investigate the principle of diagnosis,treatment and prevention of reexpansion pulmonary edema(RPE)following thoracotomy.The lung had been shrunk in these operations.Methods:Five patients got RPE,three of those were performed the pleurodesis with thoracoscope,and two patients were performed esophagectomy for treatment of esophageal carcinoma.Results:RPE related to the pulmonary shrink,for the shrinkable pulmonary tissues was hypoxemic and increased the permeability of the pulmonary capillary,hence caused RPE.The pulmonary shirnk caused a greater or lesser degree of RPE in conventional thoracotomy.Conclusion:To reduce the incidence of RPE,it is important to expand the lung intermittently and slowly during operation.