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相關文獻
- Delayed Resolution of Negative-Pressure Pulmonary Edema: A Case Report
- Postobstructive Negative Pressure Edema Associated with Pulmonary Hemorrhage in an Intubated Patient during General Anesthesia: One Sporadic Case Report and Literature Review
- HELLP Syndrome with Antepartum Pulmonary Edema--A Case Report
- Acute Pulmonary Edema Related to Anesthesia
- Noncardiogenic Pulmonary Edema and Iatrogenic Hyperglycemia After Operative Hysteroscopy: Report of a Case
- Post-Extubation Pulmonary Edema--A Case Report
- Negative-pressure Pulmonary Edema after General Anesthesia: A Case Report
- 急性上呼吸道阻塞鬆馳後肺水腫
- An Analysis of Negative Pressure Pulmonary Edema Cases after Acute Upper Airway Obstruction
- Acute Pulmonary Edema after Upper Airway Obstruction--A Case Report and Review of the Literature
頁籤選單縮合
題名 | Delayed Resolution of Negative-Pressure Pulmonary Edema: A Case Report=延遲改善之負壓肺水腫:病例報告 |
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作 者 | 楊博文; 劉正鴻; 李世偉; 林炎正; 王立敏; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 18:3 2007.09[民96.09] |
頁次 | 頁115-120 |
分類號 | 415.46 |
關鍵詞 | 肺水腫; 上呼吸道阻塞; 延遲改善; 麻醉; Pulmonary edema; Upper-airway obstruction; Delayed resolution; Anesthesia; |
語文 | 英文(English) |
中文摘要 | 上呼吸道阻塞可能併發急性肺水腫,此症於成人常因麻醉後引起咽喉痙攣而造成。儘早診斷並給予適當治療後,病患可於 24 小時內恢復。在此我們提出一位接受頸椎手術,術後在病患尚未完全恢復意識時拔除氣管內管,因而造成延遲改善的急性肺水腫之病例,該病患於重新插管與給予利尿劑治療後完全恢復。術中適當的輸液處理與確認病患即將完全清醒再拔管可以避免急性肺水腫的發生。 |
英文摘要 | Negative-pressure pulmonary edema (NPPE) is a well-described complication of upper-airwayobstruction, most commonly occurring amongst adults as a consequence of postanesthetic laryngospasm. With early diagnosis and prompt treatment, patients who sustain NPPE typically have a completerecovery within 24 hours of the condition’s first appearance. We herein describe the case of a patient who appeared to feature a delayed resolution of highly suspected NPPE possibly associated with perioperativecrystalloid solution loading as a component of cervical spine surgery for a herniated intervertebral disc, and who was extubated when not fully awake post-surgery. Subsequent to reintubation and diuretictherapy, the patient recovered uneventfully. |
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