Case Report
A Resuscitated Case from Asphyxia by Large Bronchial Cast
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SHIGERU ITABASHI, MICHIKO KANO, KAZUTAKA ENDO and HIDETADA SASAKI1
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Department of Respiratory Medicine and Anesthesiology, Shiogama City Hospital, Shiogama 985-0054, and 1Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine, Sendai 980-8574
A 62-year-old woman with bronchiectasis suffered from asphyxia due to a large bronchial cast that obstructed the bronchial tree. Immediate bronchoscopic suction of a bronchial cast of 17 cm in length through the intubated tube relieved the patients without any complications. Large bronchial casts appear to be rare in this century but it should be considered in patients with acute exacerbation of excessive sputa not only in patients with asthma or allergy but also in patients with respiratory tract infection.
Key words---
asphyxia; bronchiectasis; bronchial cast
© 1999 Tohoku University Medical Press
Tohoku J. Exp. Med., 1999, 187, 183-188
Address for reprints:
Hidetada Sasaki, M.D., Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8574, Japan.
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