Memtsoudis Stavros G, Rosenberger Peter, Sadovnikoff Nicholas
Department of Anesthesiology, Perioperative and Pain Medicine, Division of Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Anesth Analg. 2005 Jul;101(1):38-40, table of contents. doi: 10.1213/01.ANE.0000156206.80607.B8.
We describe a 29-yr-old male, status post-bilateral lung transplant, who developed unilateral negative pressure pulmonary edema induced by chest tube suction in association with bilateral bronchial anastomotic strictures. We conclude that negative pressure pulmonary edema may occur secondary to high levels of negative pressure applied to the intrapleural space via chest tubes in the presence of partial large airway obstruction. Post-lung transplant patients may be especially at risk because of compromised lymphatic drainage.
我们描述了一名29岁的男性，双侧肺移植术后，因胸管抽吸导致单侧负压性肺水肿，并伴有双侧支气管吻合口狭窄。我们得出结论，在存在部分大气道梗阻的情况下，通过胸管对胸腔内施加高水平负压可能继发负压性肺水肿。肺移植术后患者由于淋巴引流受损可能尤其危险。
