Koehler Ulrich, Hildebrandt Olaf, Conradt Regina, Koehler Julian, Kesper Karl
Pneumologie, Philipps-Universität Marburg, Marburg, Deutschland.
Gastroenterologie, Philipps-Universität Marburg, Marburg, Deutschland.
Pneumologie. 2023 Jul;77(7):403-407. doi: 10.1055/a-1931-3761. Epub 2022 Nov 15.
Negative pressure pulmonary edema and alveolar hemorrhage are potentially life-threatening complications after relief of upper airway obstruction. The laryngeal-pharyngeal obstruction results in high negative intrapleural pressures. The increased intrapleural pressures affect the integrity of the alveolo-capillary membrane due to various factors. This review describes clinical symptoms, etiologic factors, pathophysiology and treatment strategies associated with each of these factors. The aim of this review is to equip clinicians with the knowledge base necessary to identify patients at increased risk for negative pressure pulmonary edema and alveolar hemorrhage.
负压性肺水肿和肺泡出血是上气道梗阻解除后潜在的危及生命的并发症。喉咽部梗阻导致胸膜腔内负压升高。由于多种因素,胸膜腔内压力升高会影响肺泡-毛细血管膜的完整性。本综述描述了与这些因素相关的临床症状、病因、病理生理学和治疗策略。本综述的目的是为临床医生提供必要的知识库,以识别负压性肺水肿和肺泡出血风险增加的患者。