Choi Eunkyung, Yi Junggu, Jeon Younghoon
Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
Int Med Case Rep J. 2015 Aug 19;8:169-71. doi: 10.2147/IMCRJ.S86099. eCollection 2015.
Postoperative negative pressure pulmonary edema (NPPE) is a rare, but well-known life-threatening complication of acute upper airway obstruction (UAO) which develops after general anesthesia. The pronounced inspiratory efforts following UAO lead to excessive negative inspiratory pressure, which may cause acute pulmonary edema. Early recognition and prompt treatment of NPPE is necessary to prevent patient morbidity and mortality. In addition, the physician should carefully manage the patient who has risk factors of UAO to prevent this situation. We experienced a case of NPPE following laryngospasm after tracheal extubation in an obese patient who underwent open reduction of orbital wall and nasal bone surgery.
术后负压性肺水肿（NPPE）是一种罕见但广为人知的、在全身麻醉后发生的急性上呼吸道梗阻（UAO）的危及生命的并发症。UAO后明显的吸气用力会导致过度的负压吸气压力，这可能会引起急性肺水肿。早期识别和及时治疗NPPE对于预防患者发病和死亡至关重要。此外，医生应仔细管理有UAO危险因素的患者以预防这种情况。我们遇到了一例肥胖患者，在接受眶壁和鼻骨切开复位手术后气管拔管时发生喉痉挛后出现NPPE的病例。
