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Successful surgical management of emphysematous giant bullae accompanied by severe bronchial asthma: Report of a case

Authors :
Ishikawa, Susumu
Yoshida, Ichiro
Ohtaki, Akio
Otani, Yoshimi
Sakata, Kazuhiro
Morishita, Yasuo
Source :
Surgery Today; June 1995, Vol. 25 Issue: 6 p560-562, 3p
Publication Year :
1995

Abstract

The surgical treatment of emphysematous lung bullae is usually contraindicated in patients with severe bronchial asthma. However, we recently encountered a patient who required surgery due to the development of respiratory distress despite treatment with bronchodilators and low-dose prednisolone (5 mg/day). During the first operation, bronchospasm occurred with anesthesia. After suppression of the asthmatic symptoms for 2 weeks with high-dose prednisolone (25 mg/day), the giant bullae could be resected safely. Thus, the preoperative resolution of asthma to decrease the probability of an attack is indispensable for such patients.

Details

Language :
English
ISSN :
09411291 and 14362813
Volume :
25
Issue :
6
Database :
Supplemental Index
Journal :
Surgery Today
Publication Type :
Periodical
Accession number :
ejs15385040
Full Text :
https://doi.org/10.1007/BF00311317