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Unilateral Pulmonary Edema during General Anesthesia - Report of Two Cases

全身麻醉時發生單側性肺水腫-二病例報告

摘要


Unilateral presentation of pulmonary edema, though well known to occur, is an uncommon entity. Previous reviews of this subject have discussed the different etiologies, which include rapid reexpansion of collapsed lung, down lung syndrome (gravitational edema), systemic-to-pulmonary arterial shunts, heart failure, compression or occlusion of pulmonary vasculatures, obstruction of a bronchus and an acute manifestation of neuropulmonary reaction (neurogenic pulmonary edema). Occurrence of this complication during surgery, however, is even rarer. We report 2 cases of unilateral pulmonary edema occurring during general anesthesia for elective surgery.

並列摘要


單側性肺水腫雖為一已知可能發生的現象,但臨床上仍相當少見。先前有關單側性肺水腫的文獻報告提出其相關的鑑別診斷包括發生於擴張已萎縮的肺臟時、重力性肺水腫、主動脈至肺動脈分流、心臟衰竭、肺血管的阻塞或壓迫、支氣管的阻塞以及可能為神經性肺水腫的臨床表現等等。手術中發生單側性肺水腫也是相當罕見的併發症。在此,我們提出兩個於全身麻醉中發生單側性肺水腫的病例。

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