两例继发于喉痉挛的急性肺水肿

[Two cases of acute pulmonary edema secondary to laryngospasm].

作者信息

Gómez Gómez R, Almajano Domínguez R, Herranz Andrés M P, Abengochea Beisty J M, Molero Coromina M, Urieta Solanas A

机构信息

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Miguel Servet, Zaragoza.

出版信息

Rev Esp Anestesiol Reanim. 1999 Aug-Sep;46(7):317-9.

PMID:10563131

Abstract

We report two cases of acute pulmonary edema attributable to episodes of postextubation laryngospasm appearing when two young patients awoke after appendectomies under general anesthesia. Both patients improved in less than 48 hours with diuretics, oxygen therapy and liquid restriction, making tracheal intubation unnecessary. The pathophysiology and clinical and radiological signs of pulmonary edema are reviewed.

摘要

我们报告了两例急性肺水肿病例，这两例病例是在两名年轻患者全身麻醉下进行阑尾切除术后苏醒时出现的拔管后喉痉挛发作所致。两名患者在使用利尿剂、氧疗和限制液体摄入后不到48小时病情好转，无需进行气管插管。本文对肺水肿的病理生理学以及临床和放射学征象进行了综述。