[Initial reduction of the lung volume and capillary escape syndrome in gram negative peritonitis].
Report on a female patient aged 29 with gramnegative bacterial peritonitis due to perforation of a postpyloric ulcer. A reduction of lung volume was observed, followed after 24 h by non cardiogenic interstitial and alveolar edema resulting in severe hypoxemia and hypercapnia with metabolic acidosis for 4 days. Return of gas exchange to physiological values was established prior to the restoration of normal lung volume. The pathophysiological mechanism of these phenomena is discussed.
D000138:Acidosis / Q000209:etiology; D000328:Adult; D004381:Duodenal Ulcer / Q000601:surgery; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000209:etiology; D000860:Hypoxia / Q000209:etiology; D008176:Lung Volume Measurements; D010439:Peptic Ulcer Perforation / Q000150:complications*; D010538:Peritonitis / Q000209:etiology*; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000209:etiology*; D013577:Syndrome
Réduction initiale du bolume pulmonaire et syndrome de fuites capillaires sur péritonite à germes gram-négatifs