Re-expansion pulmonary edema following drainage for tension pneumothorax complicated by severe contralateral pneumonia that was successfully managed with extracorporeal membrane oxygenation

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  • 重症肺炎に併発した対側緊張性気胸ドレナージ後の再膨張性肺水腫をECMOで救命し得た1例

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Abstract

<p>A 42-year old male with right tension pneumothorax complicated by severe left pneumonia was brought to our hospital by ambulance. Following emergent thoracic drainage, the right lung was expanded and the respiratory state was improved. Two hours after admission, however, the respiratory state worsened again due to developing re-expansion pulmonary edema in a shock state. Then, extracorporeal membrane oxygenation (ECMO) support was initiated with veno-venous bypass.</p><p>Under intensive treatment, the general condition was improved gradually and ECMO was discontinued on the 5th hospital day. Neither complications nor sequelae were noted.</p><p>On the 28th hospital day, bullectomy and adhesive therapy were performed for right pneumothorax. The patient was discharged on the 43rd hospital day.</p>

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