复张性肺水肿临床分析  

Clinical analysis of reexpansion pulmonary edema

作　　者：葛广全[1] 王家顺[2] 丁静民[2] 

机构地区：[1]海南省农垦那大医院胸外科,海南儋州571700 [2]华中科技大学同济医学院附属协和医院胸外科,湖北武汉430000

出　　处：《海南医学院学报》2007年第5期464-465,共2页Journal of Hainan Medical University

摘　　要：目的:分析复张性肺水肿的诊治方法。方法:回顾性分析8例复张性肺水肿的诊断和治疗。结果:6例术后麻醉复苏期者继续PEEP模式机械正压通气,2例面罩吸氧;加用氧气去泡剂75%酒精,保持呼吸通畅,强心、利尿、解痉、监测生命体征、SPO2、CVP等对症治疗,24 h内水泡音消失。结论:复张性肺水肿起病急,进展快,是胸外科术后的急性并发症,只要掌握其特点,诊治恰当,可大大降低其危险性。Objective： To Study the methods of diagnosis and treatment of reexpansion pulmonary edema.Methods： Diagnosis and treatment in eight cases with reexpansion pulmonary edema were analyzed retrospectively.Results： Six cases were subjected to machinery positive pressure ventilation in PEEP model,2 cases were given oxygen inhalation through facemask.Oxygen antifoam agent（75% ethanol） was used,and breathing was kept unobstructed,symptomatic treatment such as cardiac stimulant,diureses and spasmolysis was introduced,vital sign,SPO2 and CVP were monitored.Bubbling in lung disappeared in 24 hours.Conclusion： Reexpansion pulmonary edema,a postoperative acute complication,is onset abruptly and progresses rapidly.The risk of reexpansion pulmonary edema can be decreased if understand its features and manage it properly.

关 键 词：肺复张 肺水肿 诊断 治疗 

分 类 号：R563.4[医药卫生—呼吸系统]