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为总结复张性肺水肿的诊断及治疗经验 ,探讨其发生因素以总结预防对策 ,对 7例复张性肺水肿的资料进行回顾性分析。结果 7例复张性肺水肿中 ,继发于脓气胸者 2例 ,继发于原发性肺癌伴大量胸腔积液、自发性气胸、创伤性迟发性血胸及食管癌 (术中行单肺通气 )术后者各 1例。 6例患者经高流量吸氧、应用支气管扩张剂、利尿剂、洋地黄及肾上腺皮质激素 ,并控制补液量 ,经 4～ 12h症状改善。 1例经上述治疗无效而行气管切开PEEP机械通气 ,于 36h后死亡。提出及时而准确地诊断是合理治疗的前提。治疗的根本原则是保证患者有足够的氧合并维持血流动力学稳定。
In order to summarize the diagnosis and treatment experience of recurrent pulmonary edema, and to explore its causes to summarize the preventive measures, the data of 7 cases of recurrent pulmonary edema were retrospectively analyzed. Results Of the 7 cases of recurrent pulmonary edema, 2 were secondary to pus and pneumothorax, secondary to primary lung cancer with pleural effusion, spontaneous pneumothorax, traumatic delayed hemothorax and esophageal cancer Pulmonary ventilation) were in 1 case. Six patients with high-flow oxygen, the application of bronchodilators, diuretics, digitalis and adrenal cortex hormones, and control the volume of fluid, 4 ~ 12h symptoms improved. One case was ineffective by the above treatment and tracheotomy PEEP mechanical ventilation, died after 36h. Proposing that timely and accurate diagnosis is the prerequisite for rational treatment. The fundamental principle of treatment is to ensure that patients have adequate oxygenation and maintain hemodynamic stability.