Edema pulmonar agudo grave secundario a tratamiento de neumotórax espontáneo primario. Caso clínico
Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.
Main Authors: | , , , |
---|---|
Format: | Digital revista |
Language: | Spanish / Castilian |
Published: |
Sociedad Médica de Santiago
2018
|
Online Access: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101343 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|