Focal reexpansion pulmonary edema after drainage of large pleural effusions: clinical evidence suggesting hypoxic injury to the lung as the cause of edema

The purposes of this study were to review possible causes of reexpansion pulmonary edema (RPE) and to attempt to explain atypical distributions of RPE after drainage of large pleural effusions. Five patients had focal RPE after routine drainage of large pleural effusions. In these cases, pleural eff...

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Veröffentlicht in:	Southern medical journal (Birmingham, Ala.) Ala.), 1997-12, Vol.90 (12), p.1176-1182
1. Verfasser:	Woodring, J H
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Drainage Female Humans Hypoxia - etiology Lung - diagnostic imaging Lung Diseases - etiology Middle Aged Pleural Effusion - diagnostic imaging Pleural Effusion - surgery Pulmonary Atelectasis - complications Pulmonary Edema - etiology Tomography, X-Ray Computed
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creator	Woodring, J H
description	The purposes of this study were to review possible causes of reexpansion pulmonary edema (RPE) and to attempt to explain atypical distributions of RPE after drainage of large pleural effusions. Five patients had focal RPE after routine drainage of large pleural effusions. In these cases, pleural effusion did not completely fill the hemithorax, and part or all of the ipsilateral upper lobe remained aerated. Reexpansion was accomplished by chest tube drainage with -20 cm H2O suction in four cases and by percutaneous needle aspiration without application of negative intrapleural suction in one. In all five cases, RPE developed in the portion of the lung that had been collapsed but did not develop in the portion of the lung that remained aerated. This suggests that hypoxic injury to the atelectatic lung, rather than mechanical stress, is the most plausible explanation for RPE.
doi_str_mv	10.1097/00007611-199712000-00003
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Five patients had focal RPE after routine drainage of large pleural effusions. In these cases, pleural effusion did not completely fill the hemithorax, and part or all of the ipsilateral upper lobe remained aerated. Reexpansion was accomplished by chest tube drainage with -20 cm H2O suction in four cases and by percutaneous needle aspiration without application of negative intrapleural suction in one. In all five cases, RPE developed in the portion of the lung that had been collapsed but did not develop in the portion of the lung that remained aerated. 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subjects	Aged Drainage Female Humans Hypoxia - etiology Lung - diagnostic imaging Lung Diseases - etiology Middle Aged Pleural Effusion - diagnostic imaging Pleural Effusion - surgery Pulmonary Atelectasis - complications Pulmonary Edema - etiology Tomography, X-Ray Computed
title	Focal reexpansion pulmonary edema after drainage of large pleural effusions: clinical evidence suggesting hypoxic injury to the lung as the cause of edema
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