Huang Xin, Li Ai-Ping, Zhou Wen-Sheng
Department of Neurology, the First Affiliated Hospital of Hunan Normal University Hunan Provincial People's Hospital, Changsha 410000, China.
Department of Neurology, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410000, China.
Int J Surg Case Rep. 2025 Apr;129:110984. doi: 10.1016/j.ijscr.2025.110984. Epub 2025 Feb 4.
Negative pressure pulmonary edema is a rare systemic complication ensuing from general anesthesia.
In this report, a middle-aged male Who underwent V4 of vertebral artery stenting under general anesthesia, developed acute respiratory distress and a decrease inoxyhemoglobin saturation(SpO2). The condition was controlled after giving high concentration of oxygen assisted ventilation and sputum suction.
The treatment process of this case suggested that negative pressure pulmonary edema is highly suspected when acute pulmonary edema occurs during the resuscitation of general anesthesia. The goal of the treatment is to keep the upper airway patent and correct hypoxemia.
NPPE is a clinically rare complication. The goal of the treatment is to keep the upper airway patent and correct hypoxemia.
负压性肺水肿是全身麻醉后罕见的全身性并发症。
在本报告中，一名中年男性在全身麻醉下行椎动脉V4段支架置入术，术后出现急性呼吸窘迫和氧合血红蛋白饱和度（SpO2）下降。给予高浓度氧气辅助通气及吸痰后病情得到控制。
该病例的治疗过程提示，全身麻醉复苏过程中若发生急性肺水肿，高度怀疑为负压性肺水肿。治疗目标是保持上呼吸道通畅并纠正低氧血症。
负压性肺水肿是一种临床罕见的并发症。治疗目标是保持上呼吸道通畅并纠正低氧血症。
