关键词: adenotonsillectomy negative pressure obstruction pulmonary oedema

来  源:   DOI:10.1097/MS9.0000000000001790   PDF(Pubmed)

Abstract:
UNASSIGNED: Negative pressure pulmonary is a non-cardiogenic pulmonary oedema that can occur after reliving of upper airway obstruction. It is life threatening clinical scenario developed due to increase intrathoracic pressure during marked inspiratory effort against a closed glottis.
UNASSIGNED: A successful adenotonsillectomy was done for a healthy 12-year-old, 33 kg male patient and transferred to post-anaesthesia care unit. In the unit the patient developed signs and symptoms of negative pressure pulmonary oedema so he was treated with diuretics and oxygen while restricting fluid. However, the dyspnoea was persisted so he was transferred to ICU.
UNASSIGNED: This case report shows the development of negative pressure pulmonary oedema after adenotonsillectomy. In this report the clinical presentation, diagnosis, treatment, prevention and prognosis of negative pressure pulmonary oedema after adenotonsillectomy was discussed in detail with citing updated evidences.
UNASSIGNED: Post-extubation pulmonary oedema can occur after reliving of chronic air obstruction. Usually it occur within 5 min after reliving the obstruction but it can occur at any time. All healthcare professionals must be knowledgeable about clinical presentation and managements of negative pressure pulmonary oedema.
摘要:
肺负压是一种非心源性肺水肿,可在缓解上呼吸道阻塞后发生。这是由于在针对闭合声门的显着吸气努力期间胸内压力增加而形成的危及生命的临床情景。
对健康的12岁儿童进行了腺扁桃体切除术,33公斤男性患者,并转移到麻醉后护理单位。在病房中,患者出现了负压性肺水肿的体征和症状,因此在限制液体的同时接受了利尿剂和氧气治疗。然而,呼吸困难持续存在,因此他被转入ICU.
本病例报告显示腺样体扁桃体切除术后出现负压性肺水肿。在这份报告的临床表现,诊断,治疗,引用最新证据,详细讨论了腺样体扁桃体切除术后负压性肺水肿的预防和预后。
拔管后肺水肿可在缓解慢性空气阻塞后发生。通常它在恢复阻塞后5分钟内发生,但它可以在任何时间发生。所有医疗保健专业人员必须了解负压性肺水肿的临床表现和管理。
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