Romo-Salas E, Martínez-Bañuelos J, Aguilar-Vidales K A
División de Anestesiología del Hospital Central "Dr. Ignacio Morones Prieto", San Luis de Potosí, México.
Rev Esp Anestesiol Reanim. 2010 Jun-Jul;57(6):374-6. doi: 10.1016/s0034-9356(10)70250-4.
We report a postanesthetic complication that has not been described in the literature. A 22-year-old man (ASA 1) developed acute pulmonary edema on awakening from balanced anesthesia for scheduled sagittal mandibular ramus osteotomy and implantation of a paranasal graft. We discuss the role of airway obstruction, which can generate high intrathoracic negative pressures and lead to acute pulmonary edema. We also review the differential diagnosis of possible causes of acute pulmonary edema during the postanesthetic recovery. The postoperative course in this case was good.
我们报告了一种文献中未描述过的麻醉后并发症。一名22岁男性（美国麻醉医师协会分级1级）在预定的下颌支矢状劈开截骨术和鼻旁植骨植入术的平衡麻醉苏醒后发生了急性肺水肿。我们讨论了气道阻塞的作用，气道阻塞可产生高胸内负压并导致急性肺水肿。我们还回顾了麻醉后恢复期间急性肺水肿可能原因的鉴别诊断。该病例的术后病程良好。
