Willms D, Shure D
Division of Pulmonary and Critical Care Medicine, University of California, San Diego.
Chest. 1988 Nov;94(5):1090-2. doi: 10.1378/chest.94.5.1090.
A report of pulmonary edema following acute upper airway obstruction in an adult is presented, and the literature involving 25 additional cases is reviewed. This form of pulmonary edema appears to be related to markedly negative intrathoracic pressure due to forced inspiration against a closed upper airway resulting in transudation of fluid from pulmonary capillaries to the interstitium. Postanesthetic laryngospasm is the most common cause of pulmonary edema in adults (11/26 cases). The edema usually clears rapidly with supportive care. Aggressive diagnostic and therapeutic interventions may be avoided if the syndrome is recognized. Maintenance of oxygenation and a patent airway are the mainstays of treatment.
本文报告了一例成人急性上气道梗阻后发生肺水肿的病例，并回顾了另外25例相关文献。这种肺水肿形式似乎与因对上气道关闭进行用力吸气导致胸腔内压力显著为负有关，从而致使液体从肺毛细血管渗出至间质。麻醉后喉痉挛是成人肺水肿最常见的原因（11/26例）。通过支持治疗，水肿通常会迅速消退。如果识别出该综合征，可避免积极的诊断和治疗干预。维持氧合和保持气道通畅是治疗的主要方法。
