Pulmonary Edema Induced by Upper Airway Obstruction - Report of 3 Cases

上呼吸道阻塞引發肺水腫之三病例報告

徐永偉(Yung-Wei Hsu) ； 許碩偉(Shou-Wei Hsu) ； 黃愛蓮(Ai-Lien Huang) ； 陳建全(Janne-Chuan Chen) ； 鄭清榮(Ching-Rong Cheng) ； 潘武熙(Mu-Hsi Pan) ； 魏志濤(Tze-Taur Wei)

《Acta Anaesthesiologica Sinica》 33卷2期 (1995/06) Pp. 123-127

摘要

Pulmonary edema is a well-recognized complication of upper airway obstruction, and has been reported sporadically both in children and adults since 1977. Although the pathogenesis of pulmonary edema associated with upper airway obstruction is multifactorial, attention is primarily focused on excessive negative intrapleural and transpulmonary pressure produced by forceful inspiration against a closed glottis that results in transudation of fluid from the pulmonary capillary into the interstitial and alveolar spaces. We report 3 cases of pulmonary edema induced by upper airway obstruction after extubation following general anesthesia.

關鍵字

Upper airway obstruction ； Pulmonary edema

並列摘要

上呼吸道阻塞引發肺水腫是大家所覺察到之上呼吸道阻塞併發症之一。自從1977年以來有零星之大人和小孩之病例報告，上呼吸道阻塞引發肺水腫之病理機轉是多重因子，然而主要的致病原因可能是上呼吸道閉鎖之後強力的吸氣引起之巨大胸內負壓和經肺部壓力而導致體液從肺部微血管滲漏到組織間和肺泡內。這潛在的併發症一定要覺察到並及時治療，只要及時治療處理，通常能很快痊癒。

並列關鍵字

上呼吸道阻塞 ； 肺水腫