Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview.
Reexpansion pulmonary edema after chest drainage for pneumothorax: A case report and literature overview.
复制标题
胸腔排水后的肺部水肿进行气胸：病例报告和文献概述。
DOI：
10.1016/j.rmcr.2014.10.002
复制
发表时间：
2015
影响因子：
1.1
通讯作者：
Geeraedts, L M G Jr
中科院分区：
文献类型：
--
作者：
Verhagen, M;van Buijtenen, J M;Geeraedts, L M G Jr
再扩张性肺水肿（RPE）是一种罕见的并发症，可能在治疗由气胸、肺不张或胸腔积液引起的肺萎陷后发生，20%的病例可能致命。RPE的发病机制可能与肺实质的组织学改变和自由基再灌注损伤导致血管通透性增加有关。RPE通常是自限性的，治疗是支持性的。一名76岁的患者因创伤性气胸接受肋间引流治疗。不久之后，他出现了复张性肺水肿，并被转移到重症监护室接受辅助治疗。水肿和呼吸困难逐渐减轻，患者可以出院，临床状况良好。RPE的特征是肋间胸腔引流后快速进行性呼吸衰竭和心动过速。早期识别RPE的体征和症状对于启动早期管理并获得良好的结果非常重要。
Reexpansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis or pleural effusion and can be fatal in 20% of cases. The pathogenesis of RPE is probably related to histological changes of the lung parenchyma and reperfusion-damage by free radicals leading to an increased vascular permeability. RPE is often self-limiting and treatment is supportive. A 76-year-old patient was treated by intercostal drainage for a traumatic pneumothorax. Shortly afterwards he developed reexpansion pulmonary edema and was transferred to the intensive care unit for ventilatory support. Gradually, the edema and dyspnea diminished and the patient could be discharged in good clinical condition. RPE is characterized by rapidly progressive respiratory failure and tachycardia after intercostal chest drainage. Early recognition of signs and symptoms of RPE is important to initiate early management and allow for a favorable outcome.