Dicpinigaitis P V, Mehta D C
Department of Medicine, Einstein Weiler Hospital, Bronx, NY, USA.
Intensive Care Med. 1995 Dec;21(12):1048-50. doi: 10.1007/BF01700672.
Pulmonary edema is a well-described complication of upper airway obstruction, most commonly caused in adults by postanesthetic laryngospasm. The mechanism initiating the formation of postobstructive pulmonary edema is believed to be the markedly negative intrapleural pressure generated by a forceful inspiratory effort against an obstructed extrathoracic airway. We herein describe a young, male patient who developed pulmonary edema postoperatively, upon emergence from anesthesia, after performing repeated, forceful inspiratory maneuvers directed against an endotracheal tube on which he had bitten down, thereby occluding it. To our knowledge, such an etiology of postobstructive pulmonary edema has not previously been described.
肺水肿是上呼吸道梗阻的一种广为人知的并发症，在成人中最常见的原因是麻醉后喉痉挛。梗阻后肺水肿形成的起始机制被认为是在对抗阻塞的胸外气道进行强力吸气时产生的显著负压。我们在此描述一名年轻男性患者，在麻醉苏醒后，因反复用力吸气对抗咬住并阻塞的气管导管而在术后发生肺水肿。据我们所知，此前尚未描述过这种梗阻后肺水肿的病因。
