Noncardiogenic pulmonary edema complicating lung resection

摘要: Postresectional pulmonary edema is a rare but potentially fatal complication of thoracic operations. In retrospective study 402 lung resections we have identified 11 cases postresectional, noncardiogenic edema. We analyzed the individual data to test recognized hypotheses regarding this condition. Pulmonary occurred in 5.1% right pneumonectomies, 4.0% left and 1% all lobectomies. 2 patients symptoms immediately after operation; other 9 mean interval diagnosis was 43.4 hours. All were positive fluid balance first 24 hours operation (mean, 20.8 +/- 9.1 mL/kg). However, there no significant difference between value respective values for control groups 20 having pneumonectomies lobectomies whom did not develop. Our findings differ from reported series that perioperative overload found be contributory factor development postresectional discuss possible mechanisms phenomenon.