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复张性肺水肿——一种罕见病症:肺部与心脏失代偿之间的微妙界限

Re-expansion Pulmonary Edema-A Rare Entity: A Thin Line between Pulmonary and Cardiac Decompensation.

作者信息

Khanoria Rita, Chauhan Rajeev, Sarna Rashi, Bloria Summit

机构信息

Department of Anaesthesia, IGMC Shimla, Himachal Pradesh, India.

Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.

出版信息

Indian J Crit Care Med. 2021 Mar;25(3):343-345. doi: 10.5005/jp-journals-10071-23769.

DOI:10.5005/jp-journals-10071-23769
PMID:33790520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7991775/
Abstract

Re-expansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis, or pleural effusion. The amount of fluid drained and the degree of pleural suction influence the development of RPE. We present a case of RPE in a critically ill patient of scrub typhus with rheumatic heart disease, after draining only 800 mL of pleural fluid, thereby proving that the complex cardiac and pulmonary interactions play an important role in the development of RPE. Khanoria R, Chauhan R, Sarna R, Bloria S. Re-expansion Pulmonary Edema-A Rare Entity: A Thin Line between Pulmonary and Cardiac Decompensation. Indian J Crit Care Med 2021;25(3):343-345.

摘要

复张性肺水肿(RPE)是一种罕见的并发症,可能发生在气胸、肺不张或胸腔积液所致肺萎陷的治疗后。引流出的液体量和胸腔吸引程度会影响复张性肺水肿的发生。我们报告一例患恙虫病合并风湿性心脏病的重症患者,仅引流出800 mL胸腔积液后发生了复张性肺水肿,从而证明心脏和肺之间复杂的相互作用在复张性肺水肿的发生中起重要作用。Khanoria R, Chauhan R, Sarna R, Bloria S.复张性肺水肿——一种罕见情况:肺与心脏失代偿之间的微妙界限。《印度重症监护医学杂志》2021年;25(3):343 - 345。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e62/7991775/addecfd2a1fb/ijccm-25-343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e62/7991775/afa2d90af647/ijccm-25-343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e62/7991775/addecfd2a1fb/ijccm-25-343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e62/7991775/afa2d90af647/ijccm-25-343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e62/7991775/addecfd2a1fb/ijccm-25-343-g002.jpg

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本文引用的文献

1
Is the mechanism of re-expansion pulmonary oedema in a heart-lung interaction?心肺相互作用中复张性肺水肿的机制是什么?
BMJ Case Rep. 2017 Jul 18;2017:bcr-2017-219340. doi: 10.1136/bcr-2017-219340.
2
Re-expansion pulmonary edema following thoracentesis.胸腔穿刺术后复张性肺水肿
CMAJ. 2010 Dec 14;182(18):2000-2. doi: 10.1503/cmaj.090672. Epub 2010 Jul 19.
3
The risk of fatal re-expansion pulmonary oedema in poor left ventricular reserve.左心室储备功能差时发生致命性再扩张性肺水肿的风险。
自发性气胸患者胸腔闭式引流后复张性肺水肿的危险因素:一项系统评价和荟萃分析
J Cardiovasc Thorac Res. 2024;16(1):1-7. doi: 10.34172/jcvtr.32871. Epub 2024 Mar 13.
4
Acute contralateral reexpansion pulmonary edema within a few hours of pleural drainage.胸腔引流后数小时内发生急性对侧复张性肺水肿。
Clin Exp Emerg Med. 2023 Sep;10(3):333-336. doi: 10.15441/ceem.22.224. Epub 2022 Oct 5.
5
Re-Expansion Pulmonary Edema in Children - A Rare Complication After Pneumothorax Drainage: A Case Report.儿童复张性肺水肿——气胸引流术后一种罕见的并发症:一例病例报告
Int Med Case Rep J. 2022 May 9;15:239-243. doi: 10.2147/IMCRJ.S364881. eCollection 2022.
Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):350-1. doi: 10.1510/icvts.2008.201640. Epub 2009 May 1.
4
Reexpansion pulmonary edema.复张性肺水肿
Ann Thorac Cardiovasc Surg. 2008 Aug;14(4):205-9.