Re-expansion pulmonary oedema after removal of a intrathoracic tumor.

被引：3

作者：

Angel, G ^{[1
]}

Andreu, JM ^{[1
]}

Aulagnier, V ^{[1
]}

Diatta, B ^{[1
]}

Seck, M ^{[1
]}

Seignot, P ^{[1
]}

机构：

[1] HOP PRINCIPAL DAKAR,SERV REANIMAT,DAKAR,SENEGAL

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 1997年 / 16卷 / 04期

关键词：

pulmonary oedema; thoracic drainage; surgery; intrathoracic tumor;

D O I：

10.1016/S0750-7658(97)81463-3

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We report an acute respiratory insufficiency following the removal of a large intrathoracic fibroma (3.1 kg) in a 6 year-old child, caused by a re-expansion pulmonary oedema (unilateral oedema occurring within one hour after expansion). This oedema improved rapidly and was followed by a well-tolerated pleural effusion. This complication is due to discrepancy between a small lung and a large thoracic cavity, due to the prolonged time course of the tumor growth. These oedemas are caused by rapid lung re-expansion, the volume of the removed tumor and the depth of postoperative pleural suction, The value of positive-end expiratory pressure is discussed.

引用

页码：370 / 373

页数：4

共 10 条

[1] RE-EXPANSION PULMONARY-EDEMA - A POTENTIAL ROLE FOR FREE-RADICALS IN ITS PATHOGENESIS [J].