Boukharta Abdelkader, Bouti Khalid, Hammi Sanaa
Department of Respiratory Medicine, Mohammed VI University Hospital Center, Tangier, MAR.
Department of Pulmonology, Mohammed VI University Hospital Center, Tangier, MAR.
Cureus. 2025 May 20;17(5):e84461. doi: 10.7759/cureus.84461. eCollection 2025 May.
Acute pulmonary edema with negative pressure (APENP) is a rare respiratory complication caused by acute upper airway obstruction, most often occurring during the postoperative period. We report a case of acute pulmonary edema with negative pressure outside of orotracheal intubation, occurring in a 65-year-old Moroccan woman, admitted for respiratory distress following digestive endoscopy under sedation without tracheal intubation. A chest X-ray after the procedure showed diffuse bilateral alveolar syndrome. Transthoracic echocardiography ruled out cardiac origin. Management was based on oxygen therapy with diuretics without the need for mechanical ventilation. The clinical assessment showed rapid improvement, and a second chest X-ray on the second day of treatment demonstrated a good resolution of the initial alveolar syndrome. A good understanding of this pathological entity allows for a quick diagnosis and optimal management of this complication.
急性负压性肺水肿（APENP）是一种由急性上气道梗阻引起的罕见呼吸系统并发症，最常发生在术后。我们报告一例在口气管插管外发生的急性负压性肺水肿病例，患者为一名65岁摩洛哥女性，因在镇静下未行气管插管的消化内镜检查后出现呼吸窘迫入院。术后胸部X线显示双侧弥漫性肺泡综合征。经胸超声心动图排除了心脏病因。治疗基于氧疗联合利尿剂，无需机械通气。临床评估显示病情迅速改善，治疗第二天的第二次胸部X线显示初始肺泡综合征得到良好缓解。对这种病理实体的充分了解有助于对该并发症进行快速诊断和优化管理。
