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负压性肺水肿:一例病例报告及文献综述

Negative pressure pulmonary edema: a case report and literature review.

作者信息

Wu Jian, Yuan Hua, Guo Zhiqiang, Feng Qiupeng, Ma Jin

机构信息

Department of Emergency Medicine, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.

出版信息

Front Med (Lausanne). 2024 Dec 4;11:1467541. doi: 10.3389/fmed.2024.1467541. eCollection 2024.

Abstract

Negative pressure pulmonary edema (NPPE) is a form of non-cardiogenic pulmonary edema triggered by a swift increase in negative intrapleural pressure due to upper airway obstruction and represents a potential cause of acute respiratory failure. This study documents a case of NPPE post-endotracheal extubation subsequent to general anesthesia. The patient, a young female, underwent a "laparoscopy-assisted unilateral salpingectomy" under general anesthesia for an ectopic pregnancy. Immediately post-extubation, the patient exhibited a sudden decline in oxygen saturation and tachypnea. Pink frothy secretions were suctioned from the oral and nasal cavities. Swift interventions, including oxygen therapy, non-invasive ventilation, diuretics, and corticosteroids, were administered. The patient's condition was effectively managed, and after 6 days of treatment, she was discharged from the hospital following full recovery.

摘要

负压性肺水肿(NPPE)是一种非心源性肺水肿,由上呼吸道梗阻导致胸腔内负压迅速升高引发,是急性呼吸衰竭的潜在病因。本研究记录了一例全身麻醉后气管插管拔管后发生NPPE的病例。该患者为年轻女性,因异位妊娠在全身麻醉下行“腹腔镜辅助单侧输卵管切除术”。拔管后即刻,患者出现氧饱和度突然下降和呼吸急促。从口腔和鼻腔吸出粉红色泡沫样分泌物。迅速采取了包括氧疗、无创通气、利尿剂和皮质类固醇在内的干预措施。患者病情得到有效控制,经过6天治疗,完全康复后出院。

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