Bellasfar G, Duchène P, Le Mée J, Mouelhi M, Langonnet F
Ann Fr Anesth Reanim. 1986;5(5):533-5. doi: 10.1016/s0750-7658(86)80042-9.
Tracheal penetration of water soluble contrast media (gastrografin) for X-ray control, after gastro-oesophageal anastomosis, resulted in acute pulmonary oedema in two patients. In this type of surgery, mediastinal dissection was responsible for recurrent nerve injury. Inhalation was due to this recurrent nerve palsy. The pulmonary oedema could be related to gastrografin high osmolarity. Therefore, to prevent this complication, previous laryngeal cavity examination is recommended before carrying out the X-ray investigations. In case of recurrent nerve paralysis, barium sulphate or lipiodol should be preferred because of their lack of effect on the lungs.
胃食管吻合术后，为进行X线检查经气管注入水溶性造影剂（泛影葡胺），导致两名患者发生急性肺水肿。在这类手术中，纵隔解剖会导致喉返神经损伤。吸入是由这种喉返神经麻痹引起的。肺水肿可能与泛影葡胺的高渗透压有关。因此，为预防这种并发症，建议在进行X线检查前先进行喉腔检查。如果发生喉返神经麻痹，应首选硫酸钡或碘油，因为它们对肺部没有影响。
