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[Shock lung after mechanical ventilation in a case of resuscitated cardiac arrest]
The case is presented, of a female patient aged 25 years presenting with internal haemorrhage as a result of uterine rupture, with intra-abdominal foetus who was who was resuscitated after cardiac arrest. After 22 hours of progressively inefficient mechanical ventilation the patient had another, irreversible, cardiac arrest. The post-morten examination showed the presence of fibrous lesions in the alveolocapillary septa, suggesting the course of shock lung. The etiopathogenic factors are discussed, which can be incriminated in the development of the pulmonary lesions in this case. These include: hypoxic encephalopathy following cardiac arrest, and disseminated intra-vascular coagulation triggered by haemorrhagic shock and the presence of thromboplastinic factors in the circulation.
The case is presented, of a female patient aged 25 years presenting with internal haemorrhage as a result of uterine rupture, with intra-abdominal foetus who was who was resuscitated after cardiac arrest. After 22 hours of progressively inefficient mechanical ventilation the patient had another, irreversible, cardiac arrest. The post-morten examination showed the presence of fibrous lesions in the alveolocapillary septa, suggesting the course of shock lung. The etiopathogenic factors are discussed, which can be incriminated in the development of the pulmonary lesions in this case. These include: hypoxic encephalopathy following cardiac arrest, and disseminated intra-vascular coagulation triggered by haemorrhagic shock and the presence of thromboplastinic factors in the circulation.