围术期急性肺水肿诊治及原因分析

Analysis of perioperative treatme nt and cause of acute pulmonary edema

目的：探讨围术期急性肺水肿的诊治及发生原因。方法：总结我科近年来不同病种患者发生围术期急性肺水肿14例临床资料，且对其诊治措施和发生原因进行分析。结果：14例患者均出现心动过速、血压升高、脉搏氧饱和度降低，双肺听诊满布哮鸣音及干湿性啰音。气管插管全麻患者气道阻力明显增加，非气管插管全麻患者则表现恐惧、苍白、心动过速、烦躁、出冷汗，部分患者经抢救插管后可见白色或大量粉红色泡沫痰从气管导管口涌出，经抢救治疗，14例患者无1例死亡，亦未出现任何相关并发症。结论：围术期急性肺水肿发生突然，病情进展迅速，若不能及时正确抢救，严重威胁患者生命，故迅速正确的诊断和积极治疗至关重要。

Objective：To investigate the diagnosis and treatment and the cause of perioperative acute pulmonary edema .Mteh ods：Summarize the clinical data of 14 cases of perioperative period in patients with acute pulmonary edema in different diseases in recent years , and its treatment measures and the causes were analyzed .Results：14 cases patients showed increased heart rate , pulse oxygen saturation decline, double lung auscultation with dry and wet rales and wheezes .Patients under general anesthesia with endotracheal intubation air-way resistance increased, non tracheal intubation patients were fear , pale, tachycardia, be agitated, cold sweats, some patients after intu-bation via rescue were visible white or pink frothy sputum from the endotracheal tube mouth poured out of .After treatment, 14 patients were no 1 case death , nor any related complications .Conclusion：Perioperative acute pulmonary edema occurred suddenly , rapid progress , if not timely rescue, a serious threat to patient＆#39;s life, so the rapid and correct diagnosis and active treatment should be very important .