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腹腔镜供肾切除术期间的单侧依赖性肺水肿:三例报告

Unilateral dependant pulmonary edema during laparoscopic donor nephrectomy: report of three cases.

作者信息

Modi Manisha, Shah Veena, Modi Pranjal

机构信息

Assistant Professor, Department of Anesthesiology, IKDRC.

出版信息

Indian J Anaesth. 2009 Aug;53(4):475-7.

PMID:20640211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2894493/
Abstract

Unilateral pulmonary edema of the dependant lung was observed in three patients during laparoscopic donor nephrectomy. Patients were treated with O2 supplementation by face mask, fluid restriction and diuretic. All the patients were relieved of symptoms with radiological improvement. The possible causes of this unusual complication following laparoscopic surgery appear to be prolonged lateral decubitus position and high intraoperative fluid infusion.

摘要

在三例患者的腹腔镜供肾切除术中观察到了下垂肺的单侧肺水肿。患者接受了面罩吸氧、液体限制和利尿剂治疗。所有患者症状缓解,影像学表现改善。腹腔镜手术后这种不寻常并发症的可能原因似乎是长时间侧卧位和术中大量输液。

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Unilateral dependant pulmonary edema during laparoscopic donor nephrectomy: report of three cases.腹腔镜供肾切除术期间的单侧依赖性肺水肿:三例报告
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Unilateral pulmonary edema after laparoscopic donor nephrectomy: report of two cases.
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本文引用的文献

1
Thoracic complications of urologic laparoscopy: correlation between radiographic findings and clinical manifestations.
J Endourol. 2008 Apr;22(4):607-14. doi: 10.1089/end.2007.0264.
2
Unilateral pulmonary edema after laparoscopic donor nephrectomy: report of two cases.
J Endourol. 2007 Jul;21(7):760-2. doi: 10.1089/end.2006.0321.
3
Comparison of three perioperative fluid regimes for laparoscopic donor nephrectomy : A prospective randomized dose-finding study.腹腔镜供肾切除术三种围手术期液体管理方案的比较:一项前瞻性随机剂量探索研究。
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4
Unilateral pulmonary edema after laparoscopic nephrectomy.腹腔镜肾切除术后单侧肺水肿
J Anaesthesiol Clin Pharmacol. 2011 Oct;27(4):556-8. doi: 10.4103/0970-9185.86609.
Does aggressive hydration reverse the effects of pneumoperitoneum on renal perfusion?积极补液能否逆转气腹对肾灌注的影响?
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Laparoscopic donor nephrectomy vs. open live donor nephrectomy: a quality of life and functional study.腹腔镜供肾切除术与开放性活体供肾切除术:一项生活质量与功能研究。
Clin Transplant. 2005 Feb;19(1):102-9. doi: 10.1111/j.1399-0012.2004.00308.x.
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Thoracic complications during urological laparoscopy.泌尿外科腹腔镜手术中的胸部并发症。
J Urol. 2004 Apr;171(4):1451-5. doi: 10.1097/01.ju.0000116352.15266.57.
7
Laparoscopic live donor nephrectomy: the University of Maryland 3-year experience.腹腔镜活体供肾切除术:马里兰大学3年经验
J Urol. 2000 Nov;164(5):1494-9.
8
Haemodynamic effects of the lateral decubitus position and the kidney rest lateral decubitus position during anaesthesia.麻醉期间侧卧位和肾托侧卧位的血流动力学效应。
Br J Anaesth. 2000 Jun;84(6):753-7. doi: 10.1093/oxfordjournals.bja.a013588.
9
Effect of intravascular volume expansion on renal function during prolonged CO2 pneumoperitoneum.长时间二氧化碳气腹期间血管内容量扩充对肾功能的影响。
Ann Surg. 2000 Feb;231(2):195-201. doi: 10.1097/00000658-200002000-00007.
10
The effects of the lateral position on cardiopulmonary function during laparoscopic urological surgery.腹腔镜泌尿外科手术中侧卧位对心肺功能的影响。
Anesth Analg. 1998 Oct;87(4):925-30. doi: 10.1097/00000539-199810000-00034.