Postoperative Pulmonary Edema after Cervical Spine Surgery-A Case Report

頸椎手術併發急性肺水腫之病例報告

曹正明(Cheng-Ming Tsao) ； 袁懷璧(Hui-Bih Yuan) ； 牛興華(Shing-Hwa Neu) ； 藍澄玉(Chen-Ju Lan) ； 胡新實(Jenkin S. Hu) ； 呂炳榮(Ping-Wing Lui) ； 李德譽(Tak-Yu Lee)

《Acta Anaesthesiologica Sinica》 37卷3期 (1999/09) Pp. 147-150

https://doi.org/10.6955/AAS.199909.0147

摘要

頸椎受傷可能會導致嚴重併發症及神經缺損。我們報告一位第一、二頸椎受壓迫的病人，術後發生肺水腫及血壓不穩，認爲是因麻醉中矯正神經性休克，而給予的過量輸液所造成。因此，狀況提早認知、昇壓劑適時使用，再加上輸液適量補充，在頸椎受傷的病人於術中麻醉的處理是非常重要的。另外，置放肺動脈導管來評估心臓功能與體液多寡變不容輕忽。

關鍵字

術後併發症：肺水腫 ； 脊椎受傷 ； 休克 ； 手術

並列摘要

Injury of the cervical spine may cause serious complications and neurological sequelae. Recently, a patient with C(subscript 1-2) spinal cord compression developed pulmonary edema postoperatively associated with unstable hemodynamics, which might result from overzealous fluid administration in order to correct neurogenic shock during anesthesia. Therefore, early recognition and timely use of vasoconstrictors, together with judicious fluid replacement are important in the anesthetic management of patients with cervical spine injury undergoing surgery. In addition, the placement of pulmonary artery catheter is crucial for assessing the cardiac function and fluid status.

並列關鍵字

Postoperative complications: pulmonary edema ； Spinal cord injury ； Shock ； Surgery