肺切除术后肺水肿
Postpneumonectomy pulmonary oedema.
作者信息
Verheijen-Breemhaar L, Bogaard J M, van den Berg B, Hilvering C
机构信息
Department of Pulmonary Diseases, University Hospital Dijkzigt, Rotterdam, The Netherlands.
出版信息
Thorax. 1988 Apr;43(4):323-6. doi: 10.1136/thx.43.4.323.
The occurrence of pulmonary oedema was studied retrospectively in 243 patients who underwent pneumonectomy in one hospital from 1975 to 1984. Pulmonary oedema developed in eight of 113 patients who had a right sided pneumonectomy and in three of 130 patients undergoing a left sided procedure. It occurred more commonly in patients requiring a second thoracotomy because of blood loss (in three out of seven patients). There were no significant differences preoperatively in pulmonary function, lung perfusion scans, or cardiovascular condition between patients who subsequently developed pulmonary oedema and those who did not. Postoperative fluid balance was significantly more positive in patients developing pulmonary oedema than in those not developing oedema. Thus pulmonary oedema was associated with right sided pneumonectomy, repeat thoracotomy, and more positive fluid balance.
对1975年至1984年在一家医院接受肺切除术的243例患者的肺水肿发生情况进行了回顾性研究。113例行右侧肺切除术的患者中有8例发生肺水肿，130例行左侧手术的患者中有3例发生肺水肿。因失血需要再次开胸手术的患者中肺水肿更常见（7例中有3例）。随后发生肺水肿的患者与未发生肺水肿的患者术前在肺功能、肺灌注扫描或心血管状况方面无显著差异。发生肺水肿的患者术后液体平衡明显比未发生肺水肿的患者更呈正向。因此，肺水肿与右侧肺切除术、再次开胸手术以及更正向的液体平衡有关。
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