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Tüp Torakostomi Sonrası Gelişen Reekspansiyonel Akciğer Ödemi: Olgu Sunumu
2010
Journal:  
Southern Clinics of Istanbul Eurasia
Author:  
Abstract:

Reekspansiyonel pulmoner ödem (RPÖ), akciğerin ekspansiyonu sonrası gelişen nadir bir komplikasyondur. RPÖ hemopnomotoraks, geniş plevral efüzyon, pnömotoraks, lobektomi sonrası ve tek akciğer ventilasyonu sırasında oluşabilmektedir. Otuz yaşında erkek hasta, sağ yan ağrısı ve dispne şikayeti ile geldi. Çekilen akciğer grafisinde sağ total spontan pnömotoraks saptandı. Sağ tüp torakostomi takıldı. Tüp torakostomi takıldıktan 2 saat sonra RPÖ gelişmesi ve klinik durumun bozulması üzerine takip ve tedavi amacıyla yoğun bakıma alındı. Yoğun bakım takip sürecinde sıvı kısıtlaması, diüretik ve oksijen desteği uygulandı. Sürekli pozitif havayolu basıncı (CPAP) uygulaması yapılarak oksijenizasyon düzeltildi. Bu yazıda, olgunun yoğun bakım tedavi basamakları ve klinik sürecinin sunulması amaçlandı.

Keywords:

Pipe Toracostomy Developing Reexpensive Lungs: Case Presentation
2010
Author:  
Abstract:

Reexpensive pulmonary obesity (RPÖ) is a rare complication that develops after lung expansion. RPÖ can be formed during hemopnomotoraks, broad pleural fusion, pnömotoraks, post-lobectomy and single lungs ventilation. A thirty-year-old man came with a sick, right side pain and dispne complaint. In the drawn lung graph, the right total spontaneous pnömotoraks was detected. The right tube is toracostomy. 2 hours after the tube toracostomy was installed, the development of the RPÖ and the deterioration of the clinical condition were taken for the purpose of monitoring and treatment. In the process of intensive care follow-up, liquid limitation, diuretic and oxygen support were applied. Continuously positive airline pressure (CPAP) app has been corrected. In this article, the objective was to present the stage of intensive care treatment of the phenomenon and the clinical process.

Keywords:

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Southern Clinics of Istanbul Eurasia

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Cite : 604
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