PDF(Pubmed)
Abstract：
Re-expansion pulmonary edema is defined as pulmonary edema that occurs when a chronically collapsed lung rapidly re-expands, most commonly following chest tube placement for pneumothorax, re-expansion of severe atelectasis, and evacuation of pleural effusion. Though it is very rare, the sudden onset and clinical features of re-expansion pulmonary edema make it a lethal complication that requires urgent treatment. We present a 60-year-old patient who underwent an aortic valve replacement with pre-existing large bilateral pleural effusions. Intraoperatively, upon evacuation of the pleural effusions, the patient developed worsening lung compliance, refractory hypoxemia, and hypercapnia that required emergent veno-venous extracorporeal membrane oxygenation support.
摘要：
再扩张肺水肿定义为当慢性塌陷的肺快速再扩张时发生的肺水肿。最常见的是在气胸放置胸管后，严重肺不张的重新扩张，和胸腔积液的排空。虽然非常罕见，再膨胀性肺水肿的突然发作和临床特征使其成为需要紧急治疗的致命并发症。我们介绍了一名60岁的患者，该患者接受了主动脉瓣置换术，并先前存在大量双侧胸腔积液。术中,在排出胸腔积液后,患者的肺顺应性恶化，难治性低氧血症,高碳酸血症需要紧急静脉-静脉体外膜氧合支持。
