新医学2016，Vol.47Issue(9)：641-644,4.DOI:10.3969/j.issn.0253-9802.2016.09.015
负压性肺水肿一例
Negative pressure pulmonary edema:a case report
谢丹 1江玮 2徐雯 1张扣兴1
作者信息
- 1. 510530 广州，中山大学附属第三医院岭南医院综合ICU
- 2. 510530 广州，中山大学附属第三医院岭南医院普通内科
- 折叠
摘要
Abstract
Negative pressure pulmonary edema (NPPE)is a rare non-cardiogenic pulmonary edema in clinical practice.In this article,we reported one patient with acute pulmonary edema during the recovery of general anesthesia.The male patient,aged 25 years,underwent surgery under general anesthesia for the lum-bar L1 -L2 vertebral compression fracture.At 1 0 min after endotracheal extubation,the patient suddenly presen-ted with SpO2 decline and shortness of breath.He immediately received endotracheal intubation and connected to the ventilator.A high quantity of pinkish serous secretion was noted in the endotracheal tube.Then he was transferred to the intensive care unit (ICU)and received mechanical ventilation with positive end-expiratory pressure (PEEP).After corresponding treatment,he had an increasing level of SpO2 and a decreased amount of pinkish serous secretion.After relevant symptoms were alleviated,he was extubated and transferred to gener-al ward for further treatment.The diagnosis and treatment of this case prompted that the possibility of negative-pressure pulmonary edema should be highly suspected if acute pulmonary edema were noted in the process of general anesthesia recovery.Endotracheal intubation for PEEP ventilation is the effective therapeutic strategy to mitigate the severity of hypoxemia and alleviate pulmonary edema.关键词
负压性肺水肿/呼气末正压通气/脉搏血氧饱和度Key words
Negative pressure pulmonary edema/Positive end-expiratory pressure/Pulse oxygen saturation引用本文复制引用
谢丹,江玮,徐雯,张扣兴..负压性肺水肿一例[J].新医学,2016,47(9):641-644,4.
