Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Anaesthesiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus. 2023 Jan 11;15(1):e33659. doi: 10.7759/cureus.33659. eCollection 2023 Jan.
Pulmonary alveolar proteinosis is an uncommon lung disease characterized by the accumulation of surfactant in the lungs. Treatment is done by whole lung lavage. One-lung ventilation in diseased lungs is a challenge to anesthesiologists due to the rapid desaturation and hemodynamic fluctuations encountered during the procedure. A 24-year-old female, a known patient of pulmonary alveolar proteinosis, who had undergone previous lung lavage presented with a dry cough and shortness of breath. Our management of the case included complete lung isolation with a double-lumen tube (DLT), one-lung ventilation, and an appropriate hemodynamic management strategy during the procedure.
肺泡蛋白沉积症是一种罕见的肺部疾病，其特征是肺表面活性物质的积累。治疗方法是全肺灌洗。由于在手术过程中会遇到快速的血氧饱和度下降和血流动力学波动，因此病变肺中单肺通气对麻醉医生来说是一个挑战。一位 24 岁的女性，已知患有肺泡蛋白沉积症，曾行肺灌洗术，现出现干咳和呼吸困难。我们的治疗方案包括使用双腔管（DLT）完全隔离肺、单肺通气以及在手术过程中进行适当的血流动力学管理策略。
