Richardson A, Wells F C, Branthwaite M A
Intensive Care Med. 1984;10(2):107-9. doi: 10.1007/BF00297568.
A primigravida with severe kyphoscoliosis developed cardio-respiratory failure in pregnancy. Cardiac arrest occurred 10 days after Caesarean section; gastric acid was aspirated then and was followed by the development of adult respiratory distress syndrome. Initial recovery, with clearing of peripheral oedema, was followed by a recurrence of respiratory distress associated with infection. Profound hypoxaemia and oliguria unresponsive to diuretics were relieved by the infusion of prostacyclin combined with fluid removal by ultrafiltration. This treatment may be of value in the management of respiratory distress syndrome when pulmonary oedema is the dominant feature.
一名患有严重脊柱后侧凸的初产妇在孕期出现心肺功能衰竭。剖宫产术后10天发生心脏骤停；随后发生胃酸误吸，继而发展为成人呼吸窘迫综合征。最初有所恢复，外周水肿消退，但之后又出现与感染相关的呼吸窘迫复发。输注前列环素并结合超滤清除液体后，严重低氧血症和对利尿剂无反应的少尿症状得到缓解。当肺水肿为主要特征时，这种治疗方法可能对呼吸窘迫综合征的管理具有价值。
