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頁籤選單縮合
題名 | Pulmonary Edema Complicated by Post-Extubation Laryngospasm:A Case Report=拔管後喉部痙攣所併發肺部水腫:一例報告 |
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作者 | 阮志仕; 姚文聲; 李汝浩; | 書刊名 | 長庚醫學 |
卷期 | 20:4 1997.12[民86.12] |
頁次 | 頁309-312 |
分類號 | 416.5 |
關鍵詞 | 氣道; 拔管後併發症; 喉部痙攣; 肺水腫; Airway; Endotracheal extubation complications; Laryngeal spasm; Pulmonary edema; |
語文 | 英文(English) |
中文摘要 | 麻醉醫師在麻醉醫療處理上,定曾遭逢氣管拔管後所發生的一些問題,據可靠的 文獻統計,拔管後所發生問題的機率可能比插管時高,喉部痙攣是氣管拔管後發生上呼吸道 阻塞的最常見原因之一;以小孩子而言,以上呼吸道手術後所發生問題的機率最高。 雖然喉部痙攣是麻醉後的偶發事情,卻可能發生嚴重的併發症,拔管後喉部痙攣是一個 絕對急症,一般亦會併發隨後的急性肺水腫的發生,有趣的是,肺水腫的產生通常是在痙攣 鬆弛之後,任何氣道阻塞都可能隨後導致負壓肺水腫的發生,主要由於極力的吸氣等原因所 致。 由上所知,徹底的了解喉部痙攣和負壓肺水腫的病因,前致因子,臨床表現及處理是非 常重要的,此即吾人寫此一病例報告的目的。 |
英文摘要 | A case of post-extubation laryngospasm complicated by negative pressure pulmonary edema in a 26 year-old healthy male undergoing right herniorrhaphy is presented immediately after extubation larymgeal stridor was noted, which rapidly developed in severe laryngospasm. Two minutes after the laryngospasm, reintubation was accomplished, but pulmonary edema was soon noted. After supportive treatment his condition improved and the endotracheal tube was removed in the next day. The patient was discharged home uneventfully on the 4th postoperative day. The cause, mechanism, treatment and how to prevent such complications are discussed. |
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