Fanning J, Lettieri L, Piver M S
Department of Gynecologic Oncology, Roswell Park Memorial Institute, Buffalo, New York.
Obstet Gynecol. 1989 Sep;74(3 Pt 2):495-7.
A case is reported of fatal recurrent unilateral reexpansion pulmonary edema following thoracentesis in a woman with stage IV ovarian adenocarcinoma. Reexpansion pulmonary edema is a rare complication resulting from reexpansion of a collapsed lung after treatment of pleural effusion, pneumothorax, or atelectasis. The etiology is unknown, and there are no guaranteed measures of prevention. The clinical presentation varies from asymptomatic to rapidly progressive fatal pulmonary edema. The diagnosis is established by chest x-ray. Depending on the severity of the clinical symptoms, treatment varies from monitoring with serial chest x-rays to mechanical ventilation. Reexpansion pulmonary edema is fatal in 20% of cases. Gynecologists should be aware of this rare entity because it may require immediate diagnosis and aggressive treatment.
报告了一例IV期卵巢腺癌女性患者在胸腔穿刺术后发生致命性复发性单侧再膨胀性肺水肿的病例。再膨胀性肺水肿是胸腔积液、气胸或肺不张治疗后萎陷肺再膨胀引起的一种罕见并发症。其病因不明，且没有可靠的预防措施。临床表现从无症状到迅速进展的致命性肺水肿不等。通过胸部X线片确诊。根据临床症状的严重程度，治疗方法从连续胸部X线片监测到机械通气不等。再膨胀性肺水肿在20%的病例中是致命的。妇科医生应了解这种罕见病症，因为它可能需要立即诊断和积极治疗。
