单肺移植受者的单侧内源性呼气末正压
Unilateral auto-PEEP in the recipient of a single lung transplant.
作者信息
Popple C, Higgins T L, McCarthy P, Baldyga A, Mehta A
机构信息
Department of Cardiothoracic Anesthesia, Cleveland Clinic Foundation.
出版信息
Chest. 1993 Jan;103(1):297-9. doi: 10.1378/chest.103.1.297.
We report a patient who received a right single lung transplant (SLT) for progressive lymphangioleiomyomatosis and required reintubation for postoperative respiratory distress. She developed hemodynamic instability due to mediastinal shift from unilateral auto-PEEP with hyperinflation of the native lung. Placement of a double lumen endotracheal tube (DLET) and institution of differential lung ventilation restored equal lung inflation and hemodynamic stability.
我们报告了一名因进行性淋巴管平滑肌瘤病接受右侧单肺移植（SLT）的患者，术后因呼吸窘迫需要再次插管。由于患侧肺过度充气导致单侧自体呼气末正压（auto-PEEP）引起纵隔移位，她出现了血流动力学不稳定。放置双腔气管内导管（DLET）并采用肺分隔通气恢复了双侧肺的同等充气状态和血流动力学稳定性。
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