Wu Jian, Yuan Hua, Guo Zhiqiang, Feng Qiupeng, Ma Jin
Department of Emergency Medicine, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.
Front Med (Lausanne). 2024 Dec 4;11:1467541. doi: 10.3389/fmed.2024.1467541. eCollection 2024.
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.
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。