[症例報告]Re-expansion pulmonary edemaの一例

概要

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Re-expansion pulmonary edema (REPE) is a rare complication during catheter drainage in the treatment of spontaneous pneumothorax. A 21-year-old woman was admitted to the hospital because of a chest pain and shortness of breath. A chest X-ray film revealed a spontaneous pneumothorax with complete collapse of the left lung. The collapse of the lung was caused by the rupture of bullae in the upper lobe. A closed catheter drainage with continuous suction was performed. However, acute re-expansion pulmonary edema with a cough and copious foamy sputum occurred immediately after the start of the catheter drainage. Thepatient fell into hypovolemic shock because of copious foamy sputum. The pulmonary edema was successfully treated with fluid transfusion wihtout use of corticosteroids and diuretics. Bullectomy was performed three weeks after the catheter drainage, since the pneumothorax recurred. In the treatment of spontaneous pneumothorax, re-expansion pulmonary edema as a hazardous complication during the catheter drainage should be kept in mind.
琉球大学医学部,Faculty of Medicine, University of the Ryukyusの論文