Fukuyama T, Koyama K, Handa F, Terui K, Miyao H, Kawazoe T
Department of Anesthesiology, Saitama Medical Center, Saitama Medical School, Saitama 350-8550.
Masui. 2001 May;50(5):509-11.
We report a preeclamptic patient who revealed severe pulmonary edema. A 37-year-old woman, at 32-week gestation, underwent emergency cesarean section under general anesthesia. She had no particular past medical history. SpO2 was 84% (room air) on the arrival at the operating room, and a chest X-ray showed pulmonary edema. She was managed in the intensive care unit postoperatively, she received an intensive treatment (positive pressure ventilation, furosemide, and inotropic support), and was extubated successfully on the third postoperative day. From clinical course and echocardiographic findings, we consider that this pulmonary edema was caused by peripartum cardiomyopathy.
我们报告了一例出现严重肺水肿的先兆子痫患者。一名37岁女性,孕32周,在全身麻醉下接受了急诊剖宫产。她既往无特殊病史。到达手术室时,其血氧饱和度(室内空气环境下)为84%,胸部X光显示肺水肿。术后她在重症监护病房接受治疗,接受了强化治疗(正压通气、呋塞米和强心支持),并于术后第三天成功拔管。根据临床病程和超声心动图检查结果,我们认为这种肺水肿是由围产期心肌病引起的。