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NONCARDIOGENIC PULMONARY EDEMA AFTER CESAREAN SECTION

VESNA VUCELIĆ ; Klinički bolnički centar Sestre milosrdnice, Sveučilište u Zagrebu, Medicinski fakultet, Klinika za unutarnje bolesti, Zavod za intenzivnu medicine, Zagreb, Hrvatska
ŽELJKO VUČIČEVIĆ ; Klinički bolnički centar Sestre milosrdnice, Sveučilište u Zagrebu, Medicinski fakultet, Klinika za unutarnje bolesti, Zavod za intenzivnu medicine, Zagreb, Hrvatska

Sažetak

Acute dyspnea during and after pregnancy should bring a number of important conditions to the mind of a physician. Pulmonary embolism, amniotic fl uid embolism, pneumonia, aspiration and pulmonary edema must be considered. Although pulmonary edema is a very rare condition, the most common contributing factors include the administration of tocolytic agents, underlying cardiac disease, iatrogenic fluid overload and preeclampsia. We report on a case of noncardiogenic
pulmonary edema in a 36-year-old woman a few hours after cesarean section. The acute event was probably due to iatrogenic fl uid overload combined with hemodynamic effects of oxytocin in interaction with hemodynamic changes at the end of pregnancy. The patient was successfully treated with diuretics and oxygen therapy, and after a few hours her chest radiograph and respiratory status were normal.

Ključne riječi

noncardiogenic pulmonary edema; cesarean section; iatrogenic fluid overload

Hrčak ID:

193717

URI

https://hrcak.srce.hr/193717

Datum izdavanja:

15.2.2018.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.426 *