Modi Manisha, Shah Veena, Modi Pranjal
Assistant Professor, Department of Anesthesiology, IKDRC.
Indian J Anaesth. 2009 Aug;53(4):475-7.
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.
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。