成人上气道梗阻所致窒息性肺水肿

[Asphyxic pulmonary edema caused by upper airway obstruction in adults].

作者信息

Bauer P, Bollaert P E, Boès F, Lambert H, Larcan A

出版信息

Ann Fr Anesth Reanim. 1987;6(3):209-10. doi: 10.1016/s0750-7658(87)80082-5.

Abstract

A case of pulmonary oedema following acute pharyngo-laryngeal obstruction is reported. The case is compared with the results of the literature. The haemodynamic data suggested a non-cardiogenic effect, with low pulmonary arterial occlusion pressure of 1 mmHg and right-to-left shunting. Positive end-expiratory pressure was used with success. The mechanisms underlying such oedema are not well known, and may include disturbances in the balance of transpulmonary forces or hypoxia. However the outcome is usually favourable.

摘要

报告了一例急性咽喉梗阻后发生肺水肿的病例。将该病例与文献结果进行了比较。血流动力学数据提示为非心源性效应，肺动脉闭塞压低至1 mmHg，存在右向左分流。呼气末正压通气使用成功。这种水肿的潜在机制尚不清楚，可能包括跨肺压力平衡紊乱或缺氧。然而，通常预后良好。