Duclos Jaime, Goecke Helmuth, Opazo Marcos
Servicio de Medicina, Departamento de Nefrología y Hemodinamia, Hospital Naval Almirante Nef. Viña del Mar, Chile.
Rev Med Chil. 2002 Sep;130(9):1033-6.
Flash pulmonary edema is a paroxismal pulmonary edema associated to a hypertensive crisis, that subsides in hours with the usual therapeutic measures. It occurs in patients with renal artery stenosis. We report two male patients aged 71 and 74 years old, presenting with acute dyspnea and high blood pressure. Diffuse rales were auscultated and arterial blood pressure was high in both. Dyspnea subsided in few hours with diuretics and oxygen. In both, a critical renal arterial stenosis was found and an angioplasty with stent placement was performed. After 5 and 6 months of follow up, the patients remain asymptomatic.
闪发性肺水肿是一种与高血压危象相关的阵发性肺水肿，采用常规治疗措施数小时内即可消退。它发生于肾动脉狭窄患者。我们报告了两名男性患者，年龄分别为71岁和74岁，表现为急性呼吸困难和高血压。两人听诊均有弥漫性啰音，且动脉血压均高。使用利尿剂和吸氧后，呼吸困难在数小时内缓解。两人均发现有严重的肾动脉狭窄，并进行了支架置入血管成形术。经过5个月和6个月的随访，患者仍无症状。
