Ng Von Vee, Shah Mukesh Kumar, Oh Ting Ting, Ramanathan Abirami, Suhitharan Thangavelautham
From the *Department of Anesthesiology, Singapore General Hospital, Singapore; †Department of Women's Anesthesiology, KK Women's and Children's Hospital, Singapore; and ‡School of Health Science, Ngee Ann Polytechnic, Singapore.
A A Case Rep. 2017 Sep 1;9(5):133-135. doi: 10.1213/XAA.0000000000000547.
Severe pulmonary hemorrhage occurred through the endotracheal tube during an emergency cesarean delivery. Intubation trauma was excluded with fiberoptic bronchoscopy. Episodes of hemoptysis continued for 48 hours. The patient was subsequently diagnosed with diffuse alveolar hemorrhage because of systemic lupus erythematosus. The diagnostic workup, successful management, and literature review are presented.
急诊剖宫产期间,通过气管内导管发生了严重的肺出血。通过纤维支气管镜检查排除了插管创伤。咯血持续了48小时。该患者随后被诊断为系统性红斑狼疮所致的弥漫性肺泡出血。本文介绍了诊断检查、成功的治疗方法及文献综述。