Sandeep Gade, Singha Subrata K, Gupta Anil, Chinnadurai Keerthi, Gupta Harishchandra
Cardiac Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Department of Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Ann Card Anaesth. 2025 Jan 1;28(1):80-83. doi: 10.4103/aca.aca_163_24. Epub 2025 Jan 24.
Pulmonary alveolar proteinosis (PAP) is a rare pulmonary pathology characterized by the accumulation of surfactant within type II alveolar epithelial cells. Whole lung lavage is the standard treatment for pulmonary alveolar proteinosis involving a large volume of fluid is infused into one lung and subsequently retrieved while the other lung is remains ventilated. Fast-tracking a patient undergoing whole lung lavage requires vigilant monitoring of arterial blood gases, fluid status, and respiratory mechanics. We report a case of a patient who underwent whole lung lavage for PAP, where early extubation was performed, avoiding the complications associated with prolonged mechanical ventilation.
肺泡蛋白沉积症（PAP）是一种罕见的肺部疾病，其特征是表面活性物质在Ⅱ型肺泡上皮细胞内积聚。全肺灌洗是肺泡蛋白沉积症的标准治疗方法，即向一侧肺内注入大量液体，随后在另一侧肺保持通气的情况下将注入的液体回收。对接受全肺灌洗的患者进行快速康复需要密切监测动脉血气、液体状态和呼吸力学。我们报告了一例因肺泡蛋白沉积症接受全肺灌洗的患者，该患者进行了早期拔管，避免了与长时间机械通气相关的并发症。
