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[ϸû/Ż]
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ġ : Ʈ
 
         Ʈ    õ
 
2.  ȯ

Է:2008-11-24 / ȸ:5965 / õ:531 / ۼ:Ѹ

6 ھ(11194702, **) 5 ϴ ־ 2 1 ־ ǿ ġ ޾ ȣ ʾ Ұ߼ ޽ǿ . ǽϿ ˻縦 Ͽ.  

    WBC 8280/uL,

                  Hg 12.5 g/dL, Hct 37.3%,

                  Plt 427 K/uL,

                  Electro (137/4.8,101,22.4),

                  O2 Sat 98.7%

                   Mycoplasma IgM , CRP 0.38, OT/PT 34/32, Һ Ⱥ. ̾.

.(Chest PA and Lat)

    1. ǽɵǴ ܸ Ͻÿ.

    2. ܸ ִ° ?   

    3. ˻簡 ʿ ?

    4. ġ ?

 

1. ǽɵǴ ܸ Ͻÿ.

    ǰ. ȯڴ Ⱦݸ ̿(eventration) . ̴ Ⱦݸ Ϻκ ߴ ̻ .

    ǰ 1. CPA hyperinflation Ұߵ ̰ bronchial infiltration Ұ ̰ ִ° ϴ. CRP ణ ְ ӻ viral bronchiolitis ΰͰϴ.  Rt side diaphragm ̴ Ұ Ȥ diaphragmatic eventration ƴ ˻ش° ϴ. ƴϸ CPA Ȯغų ĥ ġ CPA f/upغ ȭ Chest CT غ  ˴ϴ.(׳ pneumonic infiltration ϼ ....)

    ǰ 2. ܸ : 1) pneumonia with bronchiolitis 2) R/O diaphragmatic eventuation, Rt

2. ܸ ִ° ?

    ǰ. 𸣰. Ÿ ⵵ ⳪ paradoxical ־ ȯְ κ ̰ ̰ Ÿ ʾ . ̴ ȣ ̷ ˻縦 . ֱٿ RSV Ƿ ̰Ϳ Ѵٰ ϴ Ÿ ...

    ǰ 1. d. eventration ̶ ȣ ȭ Ÿ ִٰ Ǿ ־ ִٰ ˴ϴ. ȯ Ұ ܼ eventration ٴ viral infection ݵǾŶ ˴ϴ.

    ǰ 2. diaphragmatic eventuation Ư ٸ ŷ ȯƶ congenitalϰ ־ ˴ϴ. Ƹ pneumonia with bronchiolitis developeǾ, diaphragmatic eventuation

3. ˻簡 ʿ ?

    ǰ : ȯڴ Chest CT . Ư Ұ . ׷ å Phrenic nerve , ȯ(myopathy) Űȯ(neuropathy) Ȯؾ Ѵٰ Ǿ. ٸ ȯ ɼ ٰ . ȭ , ݸ, Scimitar ı . ̷ ͵鿡 ˻縦 ʾҴµ ׷ʿ䰡 ֳ ͱ⵵ ϰ, ̸ Ű å Ǿ ȸ ħ.

    ǰ 1. Ȥ ϴٸ Chest CT ɰ ϴ. ȣ ̷ 12 ˻絵 ʿҵմϴ.

    ǰ 2. mass herniation CT .    diaphragm movement sono . --->eventuation ´ٸ nerve palsy Ǵ  rib, cardiac anomaly Ȯ.

4. ġ ?

    ǰ : ġᰡ ε, ̴ ׵ ٰ . ٸ ǰ߿ plication ϸ ȴٰ Ͽµ ȣ Mass effect ִ, paradoxical Ⱦ渷  ִٸ ̸ ؾ Ұ å .

    ǰ 1.  ġ eventration ʴٸ Ѻ ɰ ϴ. (ȣ, Ǵ phrenic n. injury) ִٸ plicarion ̶ ؼ diaphragm  ִ ü ʿ մϴ. 켱 eventration ´ٸ CS consultation ϵմϴ. Diaphragmatic eventration in infants and children: Is conservative treatment justified? Journal of Pediatric Surgery, Volume 32, Issue 11, November 1997, Pages 1643-1644 Chikara Tsugawa, Ken Kimura, Eiji Nishijima, Toshihiro Muraji, Masahiro Yamaguchi

    ǰ 2. pneumonia   bronchiolitis ġ.   eventuation size ũ ʰ, herniation ǹǷ .

 
100   ̸: Է:2021-01-23 
 
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