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一名神经性厌食症患者合并创伤性气胸引流延迟后发生的复张性肺水肿

Re-expansion pulmonary edema in a patient with anorexia nervosa and delayed drainage of traumatic pneumothorax.

作者信息

Marongiu Ines, Mauri Tommaso, Spinelli Elena, Rosso Lorenzo, Grasselli Giacomo

机构信息

Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.

Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

AME Case Rep. 2019 Dec 3;3:46. doi: 10.21037/acr.2019.11.01. eCollection 2019.

DOI:10.21037/acr.2019.11.01
PMID:32030364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6987312/
Abstract

A 21-year-old patient with anorexia developed re-expansion pulmonary edema after delayed drainage of traumatic pneumothorax. The patient was treated with non-invasive respiratory support [helmet continuous positive airway pressure (CPAP) and nasal high flow] until the resolution of the edema. Risk factors associated with re-expansion pulmonary edema are anorexia nervosa, prolonged lung collapse, age in the 20-39 range and re-expansion by high suctioning pressure.

摘要

一名21岁的厌食症患者在创伤性气胸延迟引流后发生了复张性肺水肿。该患者接受了无创呼吸支持治疗（头盔持续气道正压通气和鼻高流量通气），直至肺水肿消退。与复张性肺水肿相关的危险因素包括神经性厌食症、长时间肺萎陷、20至39岁的年龄以及高负压复张。

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