Cherres O, Bugedo G, Torregrosa S, Coloma R, De la Fuente J
Departamento de Anestesiología, Hospital Clínico de la Pontificia Universidad Católica de Chile.
Rev Med Chil. 1992 Dec;120(12):1393-6.
Noncardiogenic pulmonary edema is a well recognized complication of upper airway obstruction. We report the case of a previously healthy 18-year-old male who presented this complication following laryngospasm after anesthesia. He developed severe pulmonary edema with hypoxemia, high cardiac output and low pulmonary capillary pressures. He was managed with mechanical ventilation and PEEP. Pulmonary edema resolved within 24 hours. The clinical picture, etiology, differential diagnosis and prevention are also discussed.
非心源性肺水肿是上呼吸道梗阻一种公认的并发症。我们报告一例既往健康的18岁男性病例，该患者在麻醉后发生喉痉挛，继而出现了这种并发症。他出现了严重肺水肿，伴有低氧血症、高心输出量和低肺毛细血管压。对其采用机械通气和呼气末正压通气（PEEP）进行治疗。肺水肿在24小时内消退。本文还讨论了临床表现、病因、鉴别诊断及预防措施。
