病例报告：择期腺样体扁桃体切除术后出现II型梗阻后肺水肿（POPE），需创新性地使用高频振荡通气（HFOV）。

Case Report: Post obstructive pulmonary edema (POPE) Type II following elective adenotonsillectomy requiring novel use of high frequency oscillatory ventilation (HFOV).

作者信息

Moser Joanna J, O'Connell Meghan, McAllister Debbie L

机构信息

Department of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Foothills Medical Centre, Calgary, Alberta, T2N 2T9, Canada.

Department of Anesthesiology, Pain, and Perioperative Medicine, Royal Jubilee and Victoria General Hospitals, Victoria, British Columbia, V8R 1J8, Canada.

出版信息

F1000Res. 2018 Aug 31;7:1373. doi: 10.12688/f1000research.16044.1. eCollection 2018.

DOI:10.12688/f1000research.16044.1

PMID:30647908

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6325615/

Abstract

This case report describes a previously healthy 14 year-old patient undergoing elective outpatient adenotonsillectomy that was complicated by acute postoperative pulmonary edema requiring 12 hours of high frequency oscillatory ventilation (HFOV) support. We describe the clinical findings that led us to this rare diagnosis and management of post obstructive pulmonary edema (POPE) Type II, a rare but recognized complication following the surgical relief of an upper airway obstruction. This case is unique in that no previously published case report or review of POPE Type II has described the need for HFOV support.

摘要

本病例报告描述了一名既往健康的14岁患者，该患者接受择期门诊腺样体扁桃体切除术，术后并发急性肺水肿，需要12小时的高频振荡通气（HFOV）支持。我们描述了导致我们做出这一罕见诊断的临床发现以及对II型阻塞性肺水肿（POPE）的处理，II型阻塞性肺水肿是上气道梗阻手术解除后一种罕见但已被认识的并发症。该病例的独特之处在于，之前发表的病例报告或对II型POPE的综述均未描述过需要HFOV支持的情况。