A case of acute respiratory distress syndrome occurring in a patient with recurrent tongue cancer

DOI Web Site 16 References
  • TANAKA Miyuki
    Dental and Oral Medical Center, Kurume University School of Medicine
  • KOGA Makoto
    Dental and Oral Medical Center, Kurume University School of Medicine
  • MAKIHARA Satoko
    Dental and Oral Medical Center, Kurume University School of Medicine
  • IWAMOTO Osamu
    Dental and Oral Medical Center, Kurume University School of Medicine
  • KOGA Chihiro
    Dental and Oral Medical Center, Kurume University School of Medicine
  • KUSUKAWA Jingo
    Dental and Oral Medical Center, Kurume University School of Medicine

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Other Title
  • 再発舌癌患者に発症した急性呼吸促迫症候群の1例
  • サイハツ ゼツガン カンジャ ニ ハッショウ シタ キュウセイ コキュウソクハクショウコウグン ノ 1レイ

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Acute respiratory distress syndrome (ARDS) is the most serious type of breathing failure, with high mortality. The mortality rate ranges from 35 % to 65 %. We report a case of ARDS occurring in a patient who had recurrent tongue cancer with chronic renal failure requiring hemodialysis.<br> Case: A 58-year-old man was hospitalized to receive palliative treatment for recurrent tongue cancer. The patient suddenly fell into critical condition with hypoxia on the seventh hospital day. Diffuse bilateral alveolar infiltration was seen on the chest radiograph. The PaO2/FiO2 ratio fell to 52.5 mmHg, even with an oxygen flow of 5 l /min delivered with a mask. He immediately received noninvasive positive pressure ventilation(NIPPV)　and pharmacotherapy. Lung oxygenation improved to a PaO2/FiO2 ratio of 211.7 mmHg, and he was weaned from NIPPV 8 days after symptom onset. However, he died of tongue cancer progression 5 months after recovery from ARDS.

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