我科在胸穿抽液,气胸抽气治疗中发生3例肺水肿,特此报告如下,切望引起临床工作者的重视。例1 患者女性,29岁,农民,有肝炎病史4年,出现腹水已2年,近5个月来出现咳嗽、气喘,于1932年12月21日入院。入院胸片示右侧胸腔大量积液,先后给予胸腹穿刺抽液,抽出腹水70毫升和胸水630毫升,抽液后患者感觉良好。2日后又感气急增剧。检查见右侧胸腔大量积液,两肺无啰音,心率86次。当第二次抽胸水达1300毫升时,患者感胸部不适,即停止抽液,随之出现心悸,气短,咳嗽,咯粉红色泡沫样痰,心率120次,肺部可闻及中小水泡音,立即按急性肺水肿处理,静脉给西地兰、速尿、地塞米松、吸氧等处理,1小时后呼吸平稳,肺部啰音消 Our department in the chest wear fluid, pneumothorax suction treatment occurred in 3 cases of pulmonary edema, hereby report as follows, looking to arouse the attention of clinicians. Example 1 Female patient, 29 years old, farmer, with a history of hepatitis 4 years, ascites has been 2 years, nearly 5 months to cough, asthma, on December 21, 1932 admission. The chest radiograph showed a large amount of pleural effusion on the right side of the chest. The thoracic and abdominal puncture fluid was successively given, ascites 70 ml and pleural effusion 630 ml, and the patients felt good after taking the fluid. 2 days after the sharp increase. Check to see a large number of pleural effusion on the right, two lungs without arousal, heart rate 86 times. When the second chest pumping water up to 1300 ml, the patient felt chest discomfort, stop pumping fluid, followed by heart palpitations, shortness of breath, cough, slightly pink foam sputum, heart rate 120 times, the lungs can be heard and small blisters sound, Immediately according to the treatment of acute pulmonary edema, intravenous to cedilan, furosemide, dexamethasone, oxygen and other treatment, stable breathing after 1 hour, pulmonary rales disappear