de Frutos-López S, Muñoz-García J, Ruiz-Castro M, Vidal-Marcos A, Palma-Gámiz M A
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid.
Rev Esp Anestesiol Reanim. 1997 Jun-Jul;44(6):244-6.
Pulmonary alveolar rupture can occur spontaneously or as a result of mechanical ventilation or other causes, and may give rise to bullae or emphysema without producing extrapulmonary air. Most but not all cases occur in patients with underlying lung disease. We describe a patient with no history of lung disease who underwent anterior sigmoid resection under combined (general/epidural) anesthesia. Soon after the patient awoke from anesthesia, subcutaneous, pneumomediastinal and pneumopericardiac emphysema developed, along with bilateral pneumothorax. We discuss the possible causes of extra-alveolar air was well as ways to detect and treat it.
肺泡破裂可自发发生，也可因机械通气或其他原因引起，可能导致肺大疱或肺气肿，而不产生肺外气体。大多数（但并非全部）病例发生在有潜在肺部疾病的患者中。我们描述了一名无肺部疾病史的患者，该患者在全身/硬膜外联合麻醉下接受了乙状结肠前切除术。患者麻醉苏醒后不久，出现了皮下气肿、纵隔气肿和心包积气，同时伴有双侧气胸。我们讨论了肺泡外气体的可能原因以及检测和治疗方法。
