CAJ | 학술논문

目的：总结急性重症外源性脂质性肺炎1例成功救治的经验，并结合文献探讨脂质性肺炎的病理生理变化及救治方法。方法：回顾性分析诊治的外源性脂质性肺炎1例的临床资料并复习有关文献。结果：患者在早期纤支镜经支气管肺泡灌洗、综合救治（气管插管呼吸机辅助呼吸、预防感染、祛痰、激素、抗氧化、清除自由基、维持内环境稳定等）后生命体征平稳，并行严重受累肺叶切除后康复出院。结论：早期纤支镜经支气管肺泡灌洗、综合救治是抢救急性重症外源性脂质性肺炎患者的关键，严重受累肺叶切除是减少并发症发生的重要手段。
목적：총결급성중증외원성지질성폐염1례성공구치적경험，병결합문헌탐토지질성폐염적병리생리변화급구치방법。방법：회고성분석진치적외원성지질성폐염1례적림상자료병복습유관문헌。결과：환자재조기섬지경경지기관폐포관세、종합구치（기관삽관호흡궤보조호흡、예방감염、거담、격소、항양화、청제자유기、유지내배경은정등）후생명체정평은，병행엄중수루폐협절제후강복출원。결론：조기섬지경경지기관폐포관세、종합구치시창구급성중증외원성지질성폐염환자적관건，엄중수루폐협절제시감소병발증발생적중요수단。
Objective:To summarize the experience of of a patient with acute severe exogenous lipoid pneumonia treated successfully and to explore the pathophysiological changes and treatment of lipid pneumonia by reviewed the literatures. Method: The clinical data of 1 patient with acute critically exogenous lipid pneumonia was analyzed retrospectively and the related literatures were reviewed. Results: The case in early bronchoscopic bronchoalveolar lavaged,the signs of life restored calm after comprehensive treatment (endotracheal intubation ventilator-assisted breathing , prevention of infection , eliminating phlegm , hormone and antioxidant application , free radical scavenging , maintained a stable internal environment within the processing). At last,the case discharged from the hospital in stable condition by the lobectomy of severely affected lobi pulmonis. Conclusion: Early bronchoscopy with bronchoalveolar lavage comprehensive treatment is the key to rescue a patient with acute severe exogenous lipoid pneumonia ,the lobectomy of severely affected lobi pulmonis is an important means to reduce complications.