• 作者：Y. Aissaoui^a ; ^{younes.aissaoui@live.fr} ; H. Kichna^b ; M. Boughalem^a ; N. Drissi Kamili^b
• 关键词：&OElig ; dè ; me aigu du poumon à ; pression né ; gative ; &OElig ; dè ; me aigu du poumon postobstructif ; Paralysie ré ; currentielle ; Chirurgie thyroï ; dienne
• 刊名：Annales Francaises d'Anesthesie et de Reanimation
• 出版年：2012
• 期刊代码：14_07507658
• 类别：med
• 出版时间：May, 2012
• 卷：31
• 期：5
• 页码：481-483
• 文件大小：278 K

Acute postoperative negative pressure pulmonary edema (NPPE) is a respiratory complication due to upper airway obstruction occurring most commonly in the postoperative period. Pathophysiologically, NPPE is explained by the abrupt generation of highly negative intrathoracic pressure that lead to fluid transudation from the pulmonary capillaries. This observation reports an unusual case of a young patient who has undergone total thyroidectomy for multinodular goiter. The postoperative period was marked by the occurrence of bilateral recurrent laryngeal nerve palsy that was complicated by a NPPE. The outcome was favorable after mechanical ventilation with reversal of NPPE and recovery of the recurrent laryngeal nerve function. This article stresses the importance of prevention of recurrent nerve palsy during thyroid surgery. It also highlights a little known respiratory complication: the NPPE. Understanding the pathophysiology of NPPE, rapid diagnosis and appropriate therapeutic measures could prevent its potential lethal consequences.