Tute A S, Wilkins P A, Gleed R D, Credille K M, Murphy D J, Ducharme N G
Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY 14853, USA.
Vet Surg. 1996 Nov-Dec;25(6):519-23. doi: 10.1111/j.1532-950x.1996.tb01453.x.
An 8-year-old Trakehner mare developed fulminant pulmonary edema following suspected upper airway obstruction 50 minutes into an otherwise unremarkable anesthetic recovery after surgery for left cricoarytenoideus dorsalis muscle reinnervation and ventriculocordectomy. Establishing a patent airway by orotracheal reintubation and cardiopulmonary resuscitation attempts were unsuccessful. Gross, histological, and electron microscopic postmortem examination showed severe hemorrhagic pulmonary edema. Laryngeal swelling or hemorrhage were not evident, suggesting laryngospasm or functional airway collapse associated with the underlying left laryngeal paralysis, as a cause of the upper airway obstruction. Negative pressure pulmonary edema is rarely reported in the veterinary literature as a postanesthetic complication.
一匹8岁的特拉肯纳母马在左环杓背侧肌再支配和心室声带切除术术后麻醉恢复过程中，原本情况正常，但在恢复50分钟后疑似上呼吸道梗阻，随后出现暴发性肺水肿。经口气管再插管建立通畅气道及心肺复苏尝试均未成功。大体、组织学及电子显微镜尸检显示严重出血性肺水肿。喉部肿胀或出血不明显，提示喉痉挛或与潜在的左侧喉麻痹相关的功能性气道塌陷是上呼吸道梗阻的原因。负压性肺水肿作为麻醉后并发症在兽医文献中鲜有报道。
