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上气道梗阻后负压性肺水肿与肺出血

[Negative pressure pulmonary oedema and pulmonary haemorrhage following upper airway obstruction].

作者信息

Milet P, Louis O

出版信息

Rev Med Liege. 2015 Jul-Aug;70(7-8):371-3.

Abstract

Although well described in the literature, negative pressure pulmonary oedema is an uncommon and often unrecognized pathology. It dramatically develops in healthy subjects, following a sudden obstruction of the upper airway. The strongly negative intra thoracic pressures developed during the inspiratory efforts is then responsible for the formation of pulmonary oedema secondary to increased pulmonary blood volume and hydrostatic pressure. In rare cases, alveolar hemorrhage is observed due to rupture of the alveolar-capillary barrier. This condition is illustrated by the case of a 6 year old child who presented an obstruction of the upper airway in the aftermath of inhaling an inflatable balloon. The evolution was rapidly favorable.

摘要

尽管负压性肺水肿在文献中有详尽描述,但它是一种罕见且常未被识别的病理状况。它会在健康受试者中于上呼吸道突然阻塞后急剧发展。吸气时所产生的强烈胸内负压随后导致因肺血容量增加和静水压升高而形成肺水肿。在罕见情况下,由于肺泡 - 毛细血管屏障破裂会观察到肺泡出血。一名6岁儿童在吸入一个充气气球后出现上呼吸道阻塞的病例说明了这种情况。病情迅速好转。

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