Zlatnik M G
Department of Obstetrics & Gynecology, The University of Texas Medical Branch, Galveston 77555-0587, USA.
Semin Perinatol. 1997 Aug;21(4):298-306. doi: 10.1016/s0146-0005(97)80072-9.
Pulmonary edema, a serious complication of pregnancy and the puerperium, can result in maternal and fetal morbidity and mortality. Pulmonary edema in pregnancy can be categorized by the primary mechanisms from which it results. An analysis of lung physiology using the Starling equation suggests that increased hydrostatic pressure, increased permeability, and osmotic imbalance can all lead to the development of pulmonary edema. These factors explain many of the common settings of pulmonary edema, including preeclampsia, tocolysis, and cardiac disease. This article will discuss the etiology and pathophysiology of pulmonary edema, how pregnancy influences it, and issues in its management.
肺水肿是妊娠和产褥期的一种严重并发症，可导致母婴发病和死亡。妊娠期肺水肿可根据其产生的主要机制进行分类。使用Starling方程对肺生理学进行分析表明，静水压升高、通透性增加和渗透压失衡均可导致肺水肿的发生。这些因素解释了许多肺水肿的常见情况，包括先兆子痫、抑制宫缩治疗和心脏病。本文将讨论肺水肿的病因和病理生理学、妊娠如何影响肺水肿以及其治疗中的问题。
