Ahmed Elaf, Almutairi Nasser K
Department of Otorhinolaryngology, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2018 Jun;39(6):551-557. doi: 10.15537/smj.2018.6.21887.
Post-adenotonsillectomy pulmonary edema (pATPE) is a life-threatening condition that necessitates immediate clinical intervention. The early diagnosis and detection of the signs of this condition is vital to its treatment and patient outcome. The purpose of this review article is to present epidemiological data on the prevalence of pATPE, and address the mechanisms of development, types, etiology, pathophysiology, and management of pATPE. In order to minimize postoperative intensive care unit admission rates of pATPE, utilization of preoperative clinical assessment, operative/postoperative monitoring tools, and procedural precautions are discussed.
腺样体扁桃体切除术后肺水肿(pATPE)是一种危及生命的疾病,需要立即进行临床干预。对该疾病症状的早期诊断和检测对其治疗及患者预后至关重要。这篇综述文章的目的是呈现关于pATPE患病率的流行病学数据,并探讨其发生机制、类型、病因、病理生理学及管理方法。为了尽量降低pATPE患者术后入住重症监护病房的比例,本文还讨论了术前临床评估、手术/术后监测工具的使用以及手术操作注意事项。