| Acute neurogenic pulmonary edema following abdominal surgery |
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Sung Han Park, Jun Sik Lee, Hyun Jin Hong, Hyun Seung Lee, Kyun Hong Kwon, Yong Gun Jo, Su Hyung Kim |
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| 증례 : 복강경 유도의 외과적 절제술을 시행하던 중 발생한 신경성폐부종 1예 |
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박성한.이준식.홍현진.이현승.권균홍.조용건.김수형, Jun Sik Lee, Hyun Jin Hong, Hyun Seung Lee, Kyun Hong Kwon, Yong Gun Jo, Su Hyung Kim |
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| Abstract |
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Acute neurogenic pulmonary edema, a rare and underdiagnosed clinical entity, can occur after virtually any form of injury to the central nervous system and is a potential early contributor to pulmonary dysfunction in patients with head injuries. Here, we report a single case of neurogenic pulmonary edema following abdominal surgery.
A 24-year-old man became increasingly dyspneic and developed clinical and laboratory signs of respiratory failure. Chest radiography revealed bilateral diffuse infiltrates, whereas an electrocardiogram revealed ST abnormalities and cardiac echocardiography indicated decreased LV systolic function, with recovery within 72 h. The pathophysiologic construct for abdominal surgery-induced pulmonary edema is thought to be the same as for neurogenic pulmonary edema, with a massive sympathetic nervous system discharge being the common denominator in both conditions. (Korean J Med 75:S848-S853, 2008) |
| Key Words:
Neurogenic pulmonary edema; Abdominal surgery; Sympathetic nervous system |
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