de Wolf Steven P, Deunk Jaap, Cornet Alexander D, Elbers Paul Wg
Department of Intensive Care Medicine, VU University Medical Center, De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands ; Department of Anesthesiology, VU University Medical Center, De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands ; Institute for Cardiovascular Research VU (ICaR-VU), De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands ; Research VUmc Intensive Care (REVIVE), De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands.
Department of Trauma Surgery, VU University Medical Center, De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands ; Institute for Cardiovascular Research VU (ICaR-VU), De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands ; Research VUmc Intensive Care (REVIVE), De Boelelaan 1117, 1081 HZ, Amsterdam, Netherlands.
F1000Res. 2014 Dec 30;3:318. doi: 10.12688/f1000research.6000.1. eCollection 2014.
Bilateral re-expansion pulmonary edema (RPE) is an extremely rare entity. We report the unique case of bilateral RPE following a traumatic, unilateral hemopneumothorax in a young healthy male. Bilateral RPE occurred only one hour after drainage of a unilateral hemopneumothorax. The patient was treated with diuretics and supplemental oxygen. Diagnosis was confirmed by excluding other causes, using laboratory findings, chest radiography, pulmonary and cardiac ultrasound and high resolution computed tomography. His recovery was uneventful. The pathophysiology of bilateral RPE is not well known. Treatment is mainly supportive and consists of diuretics, mechanical ventilation, inotropes and steroids. In case of a pulmonary deterioration after the drainage of a traumatic pneumothorax, bilateral RPE should be considered after exclusion of more common causes of dyspnea.
双侧复张性肺水肿（RPE）是一种极为罕见的病症。我们报告了一例年轻健康男性在遭受创伤性单侧血气胸后发生双侧RPE的独特病例。双侧RPE在单侧血气胸引流仅一小时后就出现了。患者接受了利尿剂和补充氧气治疗。通过实验室检查结果、胸部X线摄影、肺部和心脏超声以及高分辨率计算机断层扫描排除其他病因后确诊。他康复过程顺利。双侧RPE的病理生理学尚不明确。治疗主要是支持性的，包括利尿剂、机械通气、强心剂和类固醇。在外伤性气胸引流后出现肺部恶化的情况下，排除更常见的呼吸困难病因后应考虑双侧RPE。
