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Revista médica de Chile

versão impressa ISSN 0034-9887

Resumo

BARRIL MERINO, Carlos; SOLOVERA R., María E.; BANNURA Y., Felipe  e  SALAS V., Patricio. Pulmonary expansion edema during the management of a spontaneous pneumothorax. Report of one case. Rev. méd. Chile [online]. 2018, vol.146, n.11, pp.1343-1346. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872018001101343.

Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.

Palavras-chave : General Surgery; Pneumothorax; Pulmonary Edema.

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