Negatif Basınçlı Akciğer Ödemi Olgusuna Yaklaşım
Özet
Negatif basınçlı akciğer ödemi (NBAÖ), akut üst solunum yolu obstrüksiyonu sonrası nadiren görülen, ancak genç ve sağlıklı bireylerde daha sık rastlanan nonkardiyojenik akciğer ödemi tipidir. Bu olguda, 15 yaşındaki erkek hastada femur osteokondrom operasyonu sonrası ekstübasyon esnasında gelişen laringospazm ile NBAÖ tablosu ortaya çıkmıştır. Postoperatif dönemde oksijen satürasyon düşüklüğü ve akciğer grafisinde yaygın alveolar infiltrasyon saptanmıştır. Kardiyak nedenler dışlandıktan sonra yoğun bakımda HFOV( high frequency oscillatory ventilation) ve diüretik tedavisi ile 24 saat içinde belirgin klinik ve radyolojik düzelme sağlanmıştır. Erken tanı ve tedavi ile NBAÖ genellikle tamamen gerileyen bir durumdur.
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