Fetzer-Fowler S J, Mullen C A
J Post Anesth Nurs. 1990 Aug;5(4):222-7.
Laryngospasm during the emergent phase of anesthesia is a respected complication well known to any PACU nurse. One complication of laryngospasm is noncardiac pulmonary edema (NCPE). NCPE can be a catastrophic complication of anesthesia. A case report is presented to illustrate the signs and symptoms of laryngospasm and NCPE. The physiology of hemoptysis and hypoxemia is reviewed. The mechanism of laryngospasm-induced pulmonary edema is described. The need for PACU nurses to comprehend the pathophysiology and implications of laryngospasm and hypoxemia is paramount when determining proper treatment. PACU nurses should be particularly alert to and aware of this complication.
麻醉苏醒期的喉痉挛是任何一位麻醉后护理单元（PACU）护士都熟知的一种常见并发症。喉痉挛的一个并发症是非心源性肺水肿（NCPE）。NCPE可能是麻醉的一种灾难性并发症。本文通过一个病例报告来说明喉痉挛和NCPE的体征及症状。对咯血和低氧血症的生理机制进行了回顾。描述了喉痉挛诱发肺水肿的机制。在确定恰当的治疗方法时，PACU护士理解喉痉挛和低氧血症的病理生理学及影响至关重要。PACU护士应特别警惕并了解这种并发症。
