Akhter Haris M, Cooper Jeffrey S
Hyperbaric Medicine, University of Nebraska Medical Center, Omaha, USA.
Cureus. 2023 Feb 7;15(2):e34752. doi: 10.7759/cureus.34752. eCollection 2023 Feb.
Acute pulmonary edema is a rare but severe complication of hyperbaric oxygen therapy. While patients with known cardiovascular problems may be able to withstand this therapy, rapid decompensation can still occur. Here, we present a case of a patient with known low ejection fraction and severe mitral regurgitation who developed acute pulmonary edema during the first hyperbaric treatment for a foot ulcer. This case highlights the importance of identifying patients that are high risk, such as those with moderate-to-severe cardiac disease, and pursuing other treatment options to avoid this complication.
急性肺水肿是高压氧治疗中一种罕见但严重的并发症。虽然已知有心血管问题的患者可能能够耐受这种治疗，但仍可能迅速出现失代偿。在此，我们报告一例已知射血分数低且严重二尖瓣反流的患者，该患者在首次因足部溃疡进行高压治疗期间发生了急性肺水肿。该病例强调了识别高危患者（如患有中重度心脏病的患者）并寻求其他治疗选择以避免这种并发症的重要性。
