Buttiglieri A, Di Ciero G, Verdecchia C, Gambino A, Fagiano G
I Servizio di Anestesia e Rianimazione Ospedaliero, Azienda Ospedaliera S. Giovanni Battista, Torino.
Minerva Anestesiol. 1999 Sep;65(9):675-8.
A case of pulmonary edema secondary to dislocation of laryngeal mask during awakening from anesthesia is described. The complication has been ascribed to physiopathological changes of the alveolo-capillary membrane caused by inspiratory efforts secondary to dislocation of laryngeal mask during awakening from anesthesia. Other possible causes of pulmonary edema are discussed, especially the cardiogenic one, and among the non cardiogenic edema, the Mendelson's syndrome. The quick identification and the intensive care of post obstructive pulmonary edema lead to a rapid resolution of the pathology.
本文描述了一例麻醉苏醒期喉罩脱位继发肺水肿的病例。该并发症被认为是由于麻醉苏醒期喉罩脱位继发吸气用力导致肺泡毛细血管膜发生生理病理变化所致。文中还讨论了肺水肿的其他可能原因,尤其是心源性肺水肿,以及非心源性肺水肿中的孟德尔森综合征。对梗阻后肺水肿的快速识别和重症监护可使病情迅速缓解。