Sforza Alfonso, Carlino Maria V, Albano Giovanni, Arnone Maria I, De Stefano Giuliano, D'Amato Andrea, De Pisapia Federica, De Simone Giovanni, Mancusi Costantino
Hypertension Research Center, Federico II University Hospital.
Monaldi Arch Chest Dis. 2018 Mar 19;88(1):900. doi: 10.4081/monaldi.2018.900.
Reexpansion pulmonary edema (RPE) is an uncommon complication of thoracentesis or chest drainage. It occurs in the ipsilateral or contralateral lung. Causes, pathogenesis and therapy are not well understood especially for contralateral RPE. We describe a case of fatal contralateral RPE in a 59-years-old woman with right lung cancer underwent ultrasound-guided thoracentesis for massive pleural effusion and severe dyspnea. Pathogenesis of contralateral RPE is probably multifactorial and in this case is mostly due to the overperfusion of the healthy lung and consequent capillary damage. The right therapy for this condition is not known.
复张性肺水肿（RPE）是胸腔穿刺术或胸腔引流术的一种罕见并发症。它可发生于同侧或对侧肺。其病因、发病机制及治疗方法，尤其是对侧RPE，目前尚不清楚。我们描述了一例59岁患有右肺癌的女性患者，因大量胸腔积液和严重呼吸困难接受超声引导下胸腔穿刺术，发生致命性对侧RPE的病例。对侧RPE的发病机制可能是多因素的，在本病例中主要是由于健侧肺过度灌注及随之而来的毛细血管损伤。目前尚不清楚针对这种情况的正确治疗方法。
