Patel Alpesh R, Bersten Andrew D
Department of Critical Care Medicine, Flinders Medical Centre, Adelaide, SA, Australia.
Crit Care Resusc. 2006 Jun;8(2):115-6.
Negative-pressure pulmonary oedema caused by upper airway obstruction after tracheal extubation is well recognised, but extensive pulmonary haemorrhage is rare. We report a case of post-extubation, laryngospasm-induced pulmonary oedema with associated pulmonary haemorrhage. The patient required mechanical ventilation with high positive end-expiratory pressure.
气管拔管后上呼吸道梗阻引起的负压性肺水肿已得到充分认识,但广泛的肺出血却很少见。我们报告一例拔管后喉痉挛诱发的肺水肿并伴有肺出血的病例。该患者需要采用高呼气末正压进行机械通气。