Hunter Guevara Lindsay R, Gillespie Shane M, Klompas Alan M, Torres Norman E, Barbara David W
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Ann Card Anaesth. 2018 Apr-Jun;21(2):215-217. doi: 10.4103/aca.ACA_184_17.
Pulmonary alveolar proteinosis (PAP) is a rare syndrome in which phospholipoproteinaceous matter accumulates in the alveoli leading to compromised gas exchange. Whole-lung lavage is considered the gold standard for severe autoimmune PAP and offers favorable long-term outcomes. In this case report, we describe the perioperative management and procedural specifics of a patient undergoing WLL for PAP in which an anesthesiologist serves as the proceduralist and a separate anesthesiologist provides anesthesia care for the patient.
肺泡蛋白沉积症（PAP）是一种罕见的综合征，其中磷脂蛋白样物质在肺泡中积聚，导致气体交换受损。全肺灌洗被认为是重度自身免疫性PAP的金标准，并能带来良好的长期预后。在本病例报告中，我们描述了一名因PAP接受全肺灌洗患者的围手术期管理和操作细节，其中一名麻醉医生担任操作医生，另一名麻醉医生为患者提供麻醉护理。
