| Autor: |
Angel G; Service de réanimation, hôpital principal de Dakar, Sénégal., Andreu JM, Aulagnier V, Diatta B, Seck M, Seignot P |
| Jazyk: |
francouzština |
| Zdroj: |
Annales francaises d'anesthesie et de reanimation [Ann Fr Anesth Reanim] 1997; Vol. 16 (4), pp. 370-3. |
| DOI: |
10.1016/s0750-7658(97)81463-3 |
| Abstrakt: |
We report an acute respiratory insufficiency following the removal of a large intrathoracic fibroma (3.1 kg) in a 6 year-old child, caused by a re-expansion pulmonary oedema (unilateral oedema occurring within one hour after expansion). This oedema improved rapidly and was followed by a well-tolerated pleural effusion. This complication is due to discrepancy between a small lung and a large thoracic cavity, due to the prolonged time course of the tumor growth. These oedemas are caused by rapid lung re-expansion, the volume of the removed tumor and the depth of postoperative pleural suction. The value of positive-end expiratory pressure is discussed. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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