腹腔镜供体肾切除术后负压性肺水肿
Negative pressure pulmonary edema after laparoscopic donor nephrectomy.
作者信息
Gupta Mohit, Akhavan Ardavan, Hall Matthew, Palese Michael
机构信息
Jefferson Medical College, Philadelphia, PA, USA.
出版信息
JSLS. 2012 Oct-Dec;16(4):647-9. doi: 10.4293/108680812X13517013316519.
INTRODUCTION
Laparoscopic donor nephrectomy is associated with a 10% chance of morbidity and a 0.03% mortality rate. We present a case of negative pressure pulmonary edema (NPPE) in a healthy subject immediately following a laparoscopic donor nephrectomy. In this report, we will use the case to review the complications of NPPE and to illustrate its management.
CASE DESCRIPTION
A healthy 19-y-old male presented at our institution as a living-related donor for left laparoscopic donor nephrectomy. Following the surgery, the patient was reintubated and kept in the intensive care unit secondary to NPPE. The patient experienced an uneventful postoperative course and was subsequently discharged.
DISCUSSION
Although a self-limiting phenomenon, mainstay NPPE therapy requires immediate re-establishment of the airway, adequate oxygenation, and application of positive airway pressure.
引言
腹腔镜供肾切除术的发病率为10%，死亡率为0.03%。我们报告一例健康受试者在腹腔镜供肾切除术后立即发生负压性肺水肿（NPPE）的病例。在本报告中，我们将通过该病例回顾NPPE的并发症并阐述其处理方法。
病例描述
一名19岁健康男性作为活体亲属供体在我院接受左腹腔镜供肾切除术。术后，患者因NPPE再次插管并入住重症监护病房。患者术后恢复顺利，随后出院。
讨论
尽管NPPE是一种自限性现象，但其主要治疗方法需要立即重建气道、充分给氧并应用气道正压。
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