Successful management of postoperative acute respiratory distress syndrome in a patient with lung cancer

被引:0
作者
Iyoda A. [1 ]
Moriya Y. [1 ]
Hiroshima K. [2 ]
Shibuya K. [1 ]
Yoshino I. [1 ]
机构
[1] Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba 260-8670
[2] Diagnostic Pathology, Graduate School of Medicine, Chiba University, Chiba
关键词
ARDS; Lung cancer; Neutrophil elastase inhibitor; Operation;
D O I
10.1007/s11748-008-0254-7
中图分类号
学科分类号
摘要
Acute respiratory distress syndrome after pulmonary resection for lung cancer frequently has a lethal outcome. Treatment with a combination therapy of neutrophil elastase inhibitor and steroid administration was used to achieve good control, without impairing lung function, in a patient with postoperative acute respiratory distress syndrome. A 74-year-old man was diagnosed with lung cancer and referred to the outpatient department of Chiba University Hospital with double primary lung cancers located in the right upper lobe that were staged at T2N0M0 (stage IB). He underwent right upper lobectomy with hilar and mediastinal lymph node dissection. After 10 postoperative days, he had acute respiratory distress syndrome. He was given a corticosteroid and a neutrophil elastase inhibitor, which resulted in rapid improvement without lung dysfunction. © 2008 The Japanese Association for Thoracic Surgery.
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页码:354 / 356
页数:2
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