脓胸——术后——复张性肺水肿  

Reexpansion pulmonary edema after extended dissection of empyema

作　　者：张宝岭[1] 景亮[1] 

机构地区：[1]东南大学附属中大医院麻醉科,南京210009

出　　处：《国际麻醉学与复苏杂志》2010年第5期474-476,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：此案报告63岁老年女性患左侧脓胸，实施脓胸扩清术发生复张性肺水肿（reexpansion pulmonary edema，RPE）的诊疗过程。在给予患者限制液体入量、利尿及药物治疗后，患者病情得到稳定和改善。RPE是胸科手术少见的术后并发症，鉴于其突发性以及存在不同程度的低氧血症、低血压或休克，对其诊断和处理应引起麻醉医师的重视。This case report describes the management of a 63-year-old woman who suffered from left thoracic empyema and developed reexpansion pulmonary edema（RPE ） after surgery. The patient was gettting better and recovered to a stable condition after the treatment of fluid restriction, diuretic and other drug therapy.. RPE is a rare postoperative complication of thoracic surgery, but develops very rapidly and can cause hypoxemia, hypotension or shock, so more attention should be paid to its diagnosis and management.

关 键 词：复张性肺水肿 胸腔手术 脓胸 术后并发症 

分 类 号：R655[医药卫生—外科学]