Tüp torakostomi sonrasý geliþen reekspansiyonel akciðer ödemi: Olgu sunumu

Reekspansiyonel pulmoner ödem (RPÖ), akciðerin ekspansiyonu sonrasý geliþen nadir bir komplikasyondur. RPÖ hemopnomotoraks, geniþ plevral efüzyon, pnömotoraks, lobektomi sonrasý ve tek akciðer ventilasyonu sýrasýnda oluþabilmektedir. Otuz yaþýnda erkek hasta, sað yan aðrýsý ve dispne þikayeti ile geldi. Çekilen akciðer grafisinde sað total spontan pnömotoraks saptandý. Sað tüp torakostomi takýldý. Tüp torakostomi takýldýktan 2 saat sonra RPÖ geliþmesi ve klinik durumun bozulmasý üzerine takip ve tedavi amacýyla yoðun bakýma alýndý. Yoðun bakým takip sürecinde sývý kýsýtlamasý, diüretik ve oksijen desteði uygulandý. Sürekli pozitif havayolu basýncý (CPAP) uygulamasý yapýlarak oksijenizasyon düzeltildi. Bu yazýda, olgunun yoðun bakým tedavi basamaklarý ve klinik sürecinin sunulmasý amaçlandý.

Reexpansion pulmonary edema developed after application of tube thoracostomy: Case report

Reexpansion pulmonary edema (RPE) is a rarely seen clinical complication and seems due to expansion of the lung. This condition develops due to hemopneumothorax, wide pleural effusion pneumothorax, after lobectomy, and during one-lung ventilation. Our case was a 30-year-old man who presented with chest pain on the right side and dyspnea. Chest roentgenogram revealed a right-sided spontaneous pneumothorax. Tube thoracostomy was performed. A right-sided RPE was seen on the roentgenogram after tube thoracostomy. After two hours, tube thoracostomy RPE developed, and he was then transferred to intensive care. During this period fluid restriction, diuretic and oxygen support therapy were applied. His clinical condition improved with continuous positive airway pressure (CPAP) therapy. With this case, we aimed to present the treatment steps and clinical progress of a patient with RPE.