胸腔闭式引流术后复张性肺水肿的诊断及治疗

The Diagnosis and Treatment for Reexpansion Pulmonary Edema of Thoracal Closed Drainage

目的探讨复张性肺水肿的病因、临床表现以及治疗、预防措施。方法回顾性分析17例胸腔闭式引流术后复张性肺水肿的临床表现和诊断、治疗方法。结果全组2例死亡。结论复张性肺水肿是胸腔闭式引流术后少见但严重的并发症,治疗重点在于稳定病人的血流动力学,改善呼吸功能.在治疗疗程较长的肺萎陷时,应逐步减压使肺缓慢复张。临床上应以预防为主。

Objective To investigate the pathogenesis,clinical manifestation and treatment preventing measure for re-expansion pulmonary edema（RPE）. Methods A retrospective analysis on clinical manifestation, diagnosis and treament to 17 patients with reexpansion pulmonary edema who received thoracal closed drainage. Results 2 of these patients died. Conclusion RPE is an uncommon currance but life - threatening complication of thoracal closed drainage, the rule of treatment is to maintain stabilization of hemodynamic state and to improve respiratory function. When the course of treated pulmonary atrophy is longer, we could decompress step by step and make the lung recuited slowly. Carrying out prevention first in clinical treatment.