Severe localized re-expansion pulmonary oedema: An unusual instance.

K Gowrinath, S Praveen Kumar Reddy, P Jyothi
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Abstract

A lobar re-expansion pulmonary oedema (REPO) after pleural drainage procedure is rare and usually asymptomatic. We report a 56-year-old man with severe left lower lobar REPO after tube thoracostomy drainage of a loculated hydro-pneumothorax of 2 days' duration with underlying chronic obstructive pulmonary disease. The clinical manifestations were immediate and disproportionate to the radiological extent of REPO. The severity of lobar REPO was probably related to the pre-existing emphysematous changes and airway obstruction. Supplemental oxygen and intermittent pleural drainage led to clinical recovery within 24 hours, followed by radiological clearance of alveolar opacities within 3 days.

严重的局部再膨胀性肺水肿:一个不寻常的病例
胸膜引流术后的肺叶再膨胀性肺水肿(REPO)非常罕见,通常无症状。我们报告了一名 56 岁的男性患者,他患有慢性阻塞性肺部疾病,在对病程 2 天的定位性积水性气胸进行管式胸腔造口引流术后出现严重的左下肺叶再膨胀肺水肿。他的临床表现很直接,与 REPO 的放射学范围不相称。肺叶 REPO 的严重程度可能与之前存在的肺气肿病变和气道阻塞有关。补充氧气和间歇性胸膜引流使患者在 24 小时内恢复了临床症状,随后在 3 天内通过放射学检查清除了肺泡翳。
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