双侧气胸闭式引流术后单侧复张性肺水肿1例  

Unilateral reexpansion pulmonary edema after closed drainage of bilateral pneumothorax: A case report

作　　者：马珍[1] 刘海超 郭淑芬[1] 邵立业 王金荣[1] 崔朝勃[1] MA Zhen;LIU Haichao;GUO Shufen

机构地区：[1]河北医科大学附属衡水市人民医院重症医学科,河北衡水053000 [2]河北省衡水市饶阳县医院重症医学科

出　　处：《临床急诊杂志》2021年第4期284-286,共3页Journal of Clinical Emergency

摘　　要：复张性肺水肿是一种罕见但可能致命的并发症,常发生在胸腔穿刺术后。现报道1例双侧气胸闭式引流术后单侧复张性肺水肿的患者。1 病例报告患者,男,50岁,因"间断咳嗽、喘憋10余天,加重3 d"于2019年2月3日入院。既往体健,无特殊疾病。入院前10余天,因咳嗽、喘憋就诊于当地诊所,考虑"支气管炎",输液治疗5 d, 自觉症状有所好转,未再治疗。入院前3 d再次出现咳嗽、喘憋症状,再次就诊于当地诊所输液治疗,症状无好转。Reexpansion pulmonary edema is a rare but potentially fatal disease. A case of a middle-aged male patient was reported. After bilateral closed thoracic drainage of massive bilateral pneumothorax, the dyspnea and hypoxia suddenly worsened. CT showed diffuse and exudative changes in the left lung. The patient was diagnosed with reexpansion pulmonary edema, and he quickly alleviated after high-flow nasal catheter oxygen therapy and the use of glucocorticoids and diuretic. The reexpansion pulmonary edema is a self-limited disease and the management strategies based on symptomatic supportive treatment are safe and effective.

关 键 词：气胸 胸腔闭式引流术 复张性肺水肿 

分 类 号：R561.4[医药卫生—呼吸系统] R563[医药卫生—内科学]