Song Chao-Xia, Yang Yu, Wei Jin-Xia, Chi Pei, Peng Xiao-Juan
Department of Cardiology, Renmin Hospital of Qingxian, Cangzhou, China.
Department of General, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, China.
Medicine (Baltimore). 2025 May 16;104(20):e42517. doi: 10.1097/MD.0000000000042517.
Acute pulmonary edema is relatively uncommon during pregnancy. Due to its easy misdiagnosis or delayed diagnosis, the mortality rate of acute pulmonary edema in the postpartum period is very high. There is limited data in the literature on imaging analysis of acute pulmonary edema in the postpartum period, which may contribute to its misdiagnosis or delayed diagnosis.
This case describes a 28-year-old woman who was admitted to the respiratory intensive care unit with dyspnea that had been misdiagnosed as pneumonia 3 days after delivery.
After careful radiographic imaging analysis and bedside ultrasound monitoring, the patient was finally diagnosed with acute pulmonary edema.
Subsequently, oxygen inhalation, diuresis, human albumin supplementation, and other treatments were administered.
Her symptoms basically disappeared within 1 day, and the patient did not report any discomfort with 7 months of follow-up.
It has highlighted the importance of analyzing radiographic findings in the diagnosis of acute pulmonary edema during the postpartum period in this case. This analysis of radiographic findings requires multidisciplinary consultation between obstetricians and other specialties in the management of maternal health. It also reflects that early diagnosis and timely intervention are key to improving postpartum acute pulmonary edema.
急性肺水肿在孕期相对少见。由于其易被误诊或诊断延误，产后急性肺水肿的死亡率很高。关于产后急性肺水肿影像学分析的文献资料有限，这可能导致其误诊或诊断延误。
本病例描述了一名28岁女性，产后3天因呼吸困难入住呼吸重症监护病房，曾被误诊为肺炎。
经过仔细的影像学分析和床旁超声监测，患者最终被诊断为急性肺水肿。
随后给予吸氧、利尿、补充人血白蛋白等治疗。
她的症状在1天内基本消失，随访7个月患者未诉任何不适。
本病例突出了产后急性肺水肿诊断中分析影像学表现的重要性。在孕产妇健康管理中，这种影像学表现分析需要产科医生与其他专科进行多学科会诊。这也反映出早期诊断和及时干预是改善产后急性肺水肿的关键。
