Andersen C, Kancir C B, Nielsen K D
Department of Anaesthesia, Odense University Hospital, Denmark.
Acta Anaesthesiol Scand. 1988 Nov;32(8):710-1. doi: 10.1111/j.1399-6576.1988.tb02813.x.
A case of pulmonary oedema following laryngospasm in a healthy young woman is reported. Laryngospasm occurred following surgery and was treated with positive pressure oxygen ventilation by mask and by deepening of the level of anaesthesia. The rest of anaesthesia was uneventful. During the following hour, spontaneous respiration deteriorated progressively and ended in manifest pulmonary oedema which was treated by endotracheal intubation and mechanical ventilation with PEEP for some hours.
报道了一名健康年轻女性在喉痉挛后发生肺水肿的病例。喉痉挛在手术后出现,通过面罩正压给氧通气和加深麻醉深度进行治疗。其余麻醉过程顺利。在接下来的一小时内,自主呼吸逐渐恶化,最终出现明显的肺水肿,通过气管插管和使用呼气末正压通气(PEEP)进行机械通气治疗了数小时。