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[一名新生儿围麻醉期喉痉挛后发生严重急性肺水肿]

[Sever acute pulmonary edema after peri-anesthetic laryngospasm in a newborn infant].

作者信息

Carré P, Wodey E, Pladys P, Joly A, Ecoffey C

机构信息

Service d'anesthésie-réanimation chirurgicale, CHRU Pontchaillou, Rennes, France.

出版信息

Ann Fr Anesth Reanim. 1998;17(9):1140-3. doi: 10.1016/s0750-7658(00)80008-8.

Abstract

Severe acute pulmonary oedema following peranaesthetic laryngospasm in a newborn. The authors report a case of severe acute pulmonary oedema secondary to a laryngeal spasm in a 3-week-old neonate, immediately after induction of anaesthesia with halothane. After emergency tracheal intubation, the infant experienced a severe, life-threatening pulmonary oedema requiring prolonged intensive care. Such a secondary time course is unusual. Usually pulmonary oedema has a favourable outcome after oxygen administration and maintenance of positive expiration pressure, except in the neonate.

摘要

新生儿麻醉诱导期喉痉挛后发生的严重急性肺水肿。作者报告了1例3周龄新生儿在氟烷麻醉诱导后立即发生喉痉挛继发严重急性肺水肿的病例。紧急气管插管后,该婴儿出现严重的、危及生命的肺水肿,需要长时间的重症监护。这种继发性病程并不常见。通常,除新生儿外,给予氧气并维持呼气末正压后肺水肿预后良好。

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