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老年人中的负压性肺水肿和应激性心肌病

Negative-Pressure Pulmonary Edema and Takotsubo Cardiomyopathy in the Older Adults.

作者信息

Sakamoto Takahiro, Sato Rie, Endo Akihiro, Iwashita Yoshiaki, Tanabe Kazuaki

机构信息

Cardiology, Shimane University Faculty of Medicine, Izumo, JPN.

Emergency and Critical Care Medicine, Shimane University Faculty of Medicine, Izumo, JPN.

出版信息

Cureus. 2022 Feb 27;14(2):e22661. doi: 10.7759/cureus.22661. eCollection 2022 Feb.

DOI:10.7759/cureus.22661
PMID:35371635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8964023/
Abstract

Negative-pressure pulmonary edema (NPPE) is a non-cardiogenic pulmonary edema caused by a sudden drop in the intrathoracic pressure associated with upper airway obstruction. Takotsubo cardiomyopathy (TCM) can often be triggered by intense stress and is more common in older women. In this case report, we describe a case of NPPE associated with upper airway obstruction and TCM associated with stress by upper airway obstruction in an 85-year-old woman. When encountering pulmonary edema associated with upper airway obstruction in older adults, the possibility of NPPE and TCM complications should be considered.

摘要

负压性肺水肿(NPPE)是一种由上气道梗阻相关的胸腔内压力突然下降引起的非心源性肺水肿。应激性心肌病(TCM)常由强烈应激引发,在老年女性中更为常见。在本病例报告中,我们描述了一名85岁女性因上气道梗阻并发NPPE以及因上气道梗阻应激并发TCM的病例。在遇到老年患者出现与上气道梗阻相关的肺水肿时,应考虑NPPE和TCM并发症的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7fb/8964023/37dd019b6510/cureus-0014-00000022661-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7fb/8964023/e69b3baa763b/cureus-0014-00000022661-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7fb/8964023/37dd019b6510/cureus-0014-00000022661-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7fb/8964023/e69b3baa763b/cureus-0014-00000022661-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7fb/8964023/37dd019b6510/cureus-0014-00000022661-i02.jpg

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本文引用的文献

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Circ Rep. 2021 Jul 10;3(8):476-477. doi: 10.1253/circrep.CR-21-0075. eCollection 2021 Aug 10.
2
Takotsubo Cardiomyopathy Caused by Intense Emotional Stress Induced by Voluntary Quarantine During the Coronavirus Disease Crisis.新型冠状病毒病危机期间因自愿隔离导致强烈情绪应激引发的应激性心肌病
Circ Rep. 2020 Jun 6;2(7):382-383. doi: 10.1253/circrep.CR-20-0048.
3
Choking as a cause of negative pressure pulmonary oedema (NPPE) in an older adult.
负压性肺水肿(综述)
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老年人因噎食导致负压性肺水肿(NPPE)。
Age Ageing. 2021 Feb 26;50(2):592-594. doi: 10.1093/ageing/afaa217.
4
Concurrent Negative-Pressure Pulmonary Edema (NPPE) and Takotsubo Syndrome (TTS) after Upper Airway Obstruction.上气道梗阻后并发负压性肺水肿(NPPE)和应激性心肌病(TTS)
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