儿童腭裂修复术中局部使用肾上腺素后急性肺水肿1例报告

doi:10.19438/j.cjoms.2025.03.017

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (3): 310-312.doi: 10.19438/j.cjoms.2025.03.017

• 病例报告 • 上一篇

儿童腭裂修复术中局部使用肾上腺素后急性肺水肿1例报告

范颢, 董翔

上海交通大学医学院附属第九人民医院麻醉科,上海 200011

收稿日期:2024-08-30 修回日期:2024-09-18 出版日期:2025-05-20 发布日期:2025-06-05
通讯作者: 董翔,E-mail: dr_dongxiang@163.com
作者简介:范颢（1992-）,男,硕士,住院医师,E-mail: fansw1553549215@163.com

Acute pulmonary edema following local administration of epinephrine in pediatric cleft palate repair surgery: a case report

Fan Hao, Dong Xiang

Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2024-08-30 Revised:2024-09-18 Online:2025-05-20 Published:2025-06-05

摘要/Abstract

摘要： 术中局部使用肾上腺素后发生急性肺水肿是一种罕见但严重的并发症。本文报告1例17个月龄女童在腭裂修复手术中因局部使用肾上腺素而突发急性肺水肿的病例。患儿术前健康,无过敏或重大疾病史。手术中,患儿在局部使用含有肾上腺素的止血水后出现心率增快、血压下降和氧饱和度降低,随后经气管导管吸引出大量的粉红色泡沫样分泌物,被临床诊断为急性肺水肿。通过肺部吸引、更换气管导管和脱水治疗,患儿状况迅速稳定,手术顺利完成,术后患儿生命体征平稳。

关键词: 腭裂修复术, 肾上腺素, 急性肺水肿, 儿童麻醉

Abstract: Acute pulmonary edema after intraoperative topical administration of epinephrine is a rare but serious complication. This paper reported a case of acute pulmonary edema in a 17-month-old girl who was treated with epinephrine during cleft palate repair. The patient was healthy before operation and had no history of allergies or major diseases. During operation, the patient developed increased heart rate, decreased blood pressure, and decreased oxygen saturation after local use of hemostatic water containing adrenaline. Subsequently, a large amount of pink foam-like secretions were sucked through the tracheal catheter and diagnosed as acute pulmonary edema. The patient 's condition was rapidly stabilized and the operation was successfully completed through the replacement of tracheal catheter and dehydration treatment by lung suction. The vital signs of the children were stable after operation.

Key words: Cleft palate repair, Epinephrine, Acute pulmonary edema, Pediatric anesthesia

中图分类号:

R782.2

范颢, 董翔. 儿童腭裂修复术中局部使用肾上腺素后急性肺水肿1例报告[J]. 中国口腔颌面外科杂志, 2025, 23(3): 310-312.

Fan Hao, Dong Xiang. Acute pulmonary edema following local administration of epinephrine in pediatric cleft palate repair surgery: a case report[J]. China J Oral Maxillofac Surg, 2025, 23(3): 310-312.

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儿童腭裂修复术中局部使用肾上腺素后急性肺水肿1例报告

Acute pulmonary edema following local administration of epinephrine in pediatric cleft palate repair surgery: a case report

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