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삽관 육아종 1례

Intubation Granuloma : A case report

계명의대논문집 2000년 19권 2호 p.275 ~ 280
한성욱, 배정인,
소속 상세정보
한성욱 (  ) - 계명대학교 의과대학 마취과학교실
배정인 (  ) - 계명대학교 의과대학 마취과학교실

Abstract


Endotracheal intubation has been used widely for the maintenance of airway in the emergency patients and general anesthesia, However, several complications occur in about 4% after endotracheal intubation. The complications include laryngeal edema, laryngomalacia, laryngeal stenosis, laryngeal granuloma etc.. Among these complications, laryngeal granuloma is a relatively rare complication. Authors reported a case of laryngeal granuloma which developed after endotracheal intubation.
A 33-year old female patient visited our hospital Emergency Room due to right humerus and left scapular fracture, liver laceration and pleural effusion. At 2 days after admission, sudden dyspnea developed and oxygen therapy was done. After oxygen therapy, PaO2 was not elevated above 70 mmHg. Then endotracheal intubation was performed, it was difficult to intubate endotracheally due to short neck and obesity. She was intubated for 5 days. The patient was discharged after 1 month of medical treatment. At 2 months after discharge, the patient felt a progressive hoarseness and foreign body sensation in larynx. She was diagnosed as laryngeal granuloma at ENT department. She was underwent the surgical operation.

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