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題 名 | Delayed Onset Negative Pressure Pulmonary Edema after General Anesthesia in a Young Man=一年輕男生在全身麻醉後出現延遲發作的負壓型肺水腫 |
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作 者 | 洪鴻龍; 邱耀輝; 陳文彬; | 書刊名 | 北市醫學雜誌 |
卷 期 | 9:3 2012.09[民101.09] |
頁 次 | 頁244-250 |
分類號 | 415.35、415.35 |
關鍵詞 | 負壓型肺水腫; 延遲發作; 呼吸道阻塞; 喉頭痙攣; Negative pressure pulmonary edema; Delayed onset; Airway obstruction; Laryngospasm; |
語 文 | 英文(English) |
中文摘要 | 負壓型肺水腫屬於非心因性肺水腫,是一種上呼吸道阻塞的併發症,常發生在全身麻醉的催醒期,多數案例的症狀在上呼吸道阻塞後數分鐘內即出現,延遲發作的情形很少見。此一特殊案例的案主為一年輕男學生,他在全身麻醉催醒期拔除氣管內管後發生喉頭痙攣,經處置後當時並無異狀,卻在延遲4小時後才在病房發生負壓型肺水腫。因時間落差,此種延遲發作的負壓型肺水腫對臨床鑑別診斷與治療都是一種挑戰。而所有經歷上呼吸道阻塞的病人,也都可能面臨此種風險。希望這篇報告能提高大家對負壓型肺水腫可能延遲發作的認知,尤其是要照顧麻醉後病人的醫療人員,更需有這種警覺性,才能避免延誤診斷與治療。 |
英文摘要 | Negative pressure pulmonary edema (NPPE) is a form of non-cardiogenic pulmonary edema. NPPE usually arises as a consequence of upper airway obstruction during emergence from general anesthesia. Most cases develop symptoms within minutes following the inciting event. Delayed onset is uncommon. Here we describe a patient where negative pressure pulmonary edema occurred in a young schoolboy. It was induced by post-extubation laryngospasm after general anesthesia, but it had a postoperative delayed onset of up to 4 hours. Delayed onset NPPE can impose challenges in terms of differential diagnosis and treatment. It should be considered as a risk for any patient with a history of upper airway obstruction. We hope this case report will heighten alertness to this uncommon condition and serve as a reminder to physicians and nurses who care for post-anesthesia patients in other medical units. Such awareness should help to prevent any delay in diagnosis and treatment. |
本系統中英文摘要資訊取自各篇刊載內容。