Rozenman J, Yellin A, Simansky D A, Shiner R J
Department of Diagnostic Imaging, Tel Aviv University, Israel.
Respir Med. 1996 Apr;90(4):235-8. doi: 10.1016/s0954-6111(96)90293-0.
Re-expansion pulmonary oedema may occur after chest tube drainage of pneumothorax and can give rise to cardiopulmonary manifestations which range from the mild to the severe. In order to evaluate the prevalence and the clinical manifestations of this complication, all patients with spontaneous pneumothorax managed with chest tube drainage were evaluated over an 8-yr period (1986-1994). A chest radiograph was performed routinely in all patients within 4 h of tube insertion. Lung expansion and the appearance of infiltrates within the lungs were investigated specifically. Re-expansion oedema was noted in three of 320 episodes (0.9%). Two of the three patients needed rapid and extensive clinical treatment.
复张性肺水肿可能发生在气胸胸腔闭式引流术后，可引起从轻到重的心肺表现。为评估该并发症的发生率及临床表现，我们对1986年至1994年8年间所有接受胸腔闭式引流治疗的自发性气胸患者进行了评估。所有患者在置管后4小时内常规行胸部X线检查。特别观察了肺复张情况及肺内浸润影的出现情况。在320例病例中有3例（0.9%）出现了复张性肺水肿。3例患者中有2例需要迅速进行全面的临床治疗。
