기관지내시경을 통해 치료한 활성탄 흡인 1예
- Alternative Title
- A Case of Activated Charcoal Aspiration Treated by Early and Repeated Bronchoalveolar Lavage
- Abstract
- Activated charcoal is an inert substance and it is used in standard therapy in patients with acute intoxication. Charcoal has some side effects such as pulmonary aspiration, gastrointestinal complications, and electrolyte abnormalities. Although aspiration of charcoal is a rare complication, it can cause fatal sequelae. We report a 69-year old man who developed acute respiratory failure associated with charcoal aspiration after management of glyphosate poisoning. The patient was drowsy and suffered severe vomiting during transport to our hospital. On arrival, acute respiratory failure was observed due to charcoal aspiration, but the clinical state was improved with repeated bronchoscopy with a bronchoalveolar lavage (BAL). We presumed that the aspirated charcoal was an important factor in evoking a lung injury. Early bronchoscopy with a BAL might be an effective method for eliminating charcoal from the lung, especially in the case of a large amount of aspiration, and be helpful in decreasing respiratory failure due to charcoal aspiration.
- All Author(s)
- 이한민
; 박재석
; 김재연
; 이지연
; 안병규
; 길효욱
; 최재성
- Issued Date
- 2012
- Type
- Article
- Keyword
- Charcoal, Respiratory Aspiration; Respiratory Insufficiency; Bronchoalveolar Lavage; Bronchoscopy
- ISSN
- 0378-0066
; 1738-3536
; 2005-6184
- Citation Title
- 결핵 및 호흡기질환
Tuberculosis and Respiratory Disease
- Citation Volume
- 72
- Citation Number
- 2
- Citation Start Page
- 177
- Citation End Page
- 181
- Language(ISO)
- kor
- DOI
- 10.4046/trd.2012.72.2.177
- URI
- http://schca-ir.schmc.ac.kr//handle/2022.oak/413
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