一种特殊类型的血压降低:附二氧化碳排出综合征1例报告

A special type of blood pressure reduction:a case of carbon dioxide ejection syndrome

二氧化碳(CO2)排出综合征在临床上多见于人工气腹术后患者,容易导致急剧的生命体征变化,也可见于危重病患者中,慢性阻塞性肺疾病急性加重(AECOPD)患者机械通气后就可能出现该综合征。由于文献中有关CO2排出综合征的相关报道较少,相当一部分临床医师对其病理学改变不甚了解。贵州医科大学附属医院重症医学科收治1例气管插管后出现CO2排出综合征的AECOPD患者,经过补液扩容、血管活性药物提升血压和呼吸机辅助通气等治疗后病情好转,转出重症监护病房(ICU)。分析该病例的诊疗经过,并查阅复习相关文献报道,供大家参考。

Carbon dioxide(CO2)ejection syndrome is common after artificial pneumoperitoneum,and it often attracts the attention of anesthesiologists because of its rapid changes in vital signs.CO2 ejection syndrome is not uncommon in critically ill patients,and may occur after mechanical ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).There are few relevant reports about CO2 ejection syndrome,and a considerable number of clinicians have little understanding of the pathological changes.A case of AECOPD patient with CO2 ejection syndrome after endotracheal intubation was admitted to the intensive care unit(ICU)of the Affiliated Hospital of Guizhou Medical University.After treatment,such as fluid expansion,vasoactive drugs and ventilator assistance,the patient's condition improved and was transferred out of the ICU.It is expected to provide some references by summarizing the diagnosis and treatment of this case and reviewing relevant literature reports.