A case of acute respiratory distress syndrome occurring in a patient with postoperative oral cancer

DOI Web Site 11 References
  • Yutori Hirokazu
    Department of Oral Maxillofacial Surgery, Kakogawa Central City Hospital Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences
  • Matsumoto Kousuke
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • Iwatani Hiroatsu
    Department of Plastic Surgery, Kakogawa Central City Hospital
  • Ishida Suguru
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • Matsuo Kenji
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine
  • Tachibana Akira
    Department of Oral Maxillofacial Surgery, Kakogawa Central City Hospital
  • Komori Takahide
    Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine

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Other Title
  • 口腔癌術後に発症した急性呼吸促迫症候群の1例

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Acute respiratory distress syndrome （ARDS） is the most serious type of respiratory failure, carrying a high mortality rate. We report a case of ARDS occurring postoperatively in a 76-year-old man treated for oral cancer. The patient underwent radical surgery for buccal mucosal cancer. Fibular flap necrosis ensued postoperatively, the site became infected, and ARDS developed. Diffuse bilateral alveolar infiltration was seen on chest radiography. The PaO2/FiO2 ratio fell to 99.1mmHg, even with an oxygen flow of 8l/min delivered by tracheal cannula. He underwent treatment with a ventilator, surgical debridement, and pharmacotherapy. Lung oxygenation raised the PaO2/FiO2 ratio to 203mmHg, and he was weaned from NIPPV 10 days after the onset of symptoms.

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