Adolph M D, Oliver A M, Dejak T
Division of Surgical Intensive Care, St. Luke's Medical Center, Cleveland, Ohio 44104.
Ear Nose Throat J. 1994 May;73(5):324-7.
In adults with acute epiglottitis, transient noncardiogenic pulmonary edema may follow relief of upper airway obstruction, but typically does not progress to more severe pulmonary derangements. We describe a patient with post-obstructive pulmonary edema whose course was complicated by ARDS, multiorgan failure, and death. Recognition of UAO and expedient treatment depends heavily on the judgment and skills of the clinician and the available resources of the institution. Physicians caring for patients with AE should be aware of the potential for delayed morbidity and mortality following upper airway obstruction, even after establishing an adequate artificial airway. This case provides additional justification for aggressive airway management and intensive care support of patients with AE in order to avoid serious complications.
在患有急性会厌炎的成人中，上呼吸道梗阻缓解后可能会出现短暂的非心源性肺水肿，但通常不会进展为更严重的肺部紊乱。我们描述了一名患有梗阻后肺水肿的患者，其病程因急性呼吸窘迫综合征、多器官功能衰竭和死亡而复杂化。对上呼吸道梗阻的识别和及时治疗在很大程度上取决于临床医生的判断和技能以及机构所具备的资源。照料急性会厌炎患者的医生应意识到，即使在建立了充分的人工气道后，上呼吸道梗阻后仍有可能出现延迟性发病和死亡。该病例为积极的气道管理和对急性会厌炎患者的重症监护支持提供了额外的依据，以避免严重并发症。
