腹腔鏡下虫垂切除術における術後急性肺水腫:症例報告
Yang Qu1, Deyuan Li, Shujin Li
1Anesthesia and Surgery Center of the First People's Hospital of Jintang County, Sichuan Province, China.
Medicine
|January 7, 2026
まとめ
急性肺水腫は腹腔鏡下手術後の稀な合併症である。患者の回復と長期的な問題の予防には、迅速な認識と介入が不可欠である。
科学分野:
- 麻酔科学
- 呼吸器科学
- 外科集中治療
背景:
- 全身麻酔下での腹腔鏡下虫垂切除術後の若年成人における急性肺水腫の詳細な症例報告。
- 日常的な外科処置におけるこの合併症の稀さを強調する。
研究 の 目的:
- 腹腔鏡下虫垂切除術後の急性肺水腫の稀な症例を報告する。
- 術後の注意深い監視と迅速な管理の重要性を強調する。
主な方法:
- 25歳男性患者が抜管後に呼吸困難、酸素飽和度の低下、泡状痰を発症した。
- 臨床検査により両側呼吸音減弱と湿性ラ音を確認し、胸部CTで肺水腫を確認した。
- 治療には高流量酸素、コルチコステロイド、利尿薬、および対症療法が含まれた。
主要な成果:
- 患者の急性肺水腫は医学的介入により改善した。
- 患者は合併症なく9日後に退院した。
結論:
- 急性肺水腫は腹腔鏡下手術後の稀ではあるが重篤な合併症である。
- 周術期の慎重な輸液管理、注意深い抜管、および綿密な術後監視が不可欠である。
- 早期発見と迅速な介入が成功の鍵となる。
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