[A case of reexpansion pulmonary edema during thoracotomy].
A case of reexpansion pulmonary edema during thoracotomy is presented. A high edema fluid-plasma protein concentration ratio suggested an increase in pulmonary vascular permeability. A marked increase in the percentages of polymorphonuclear leukocytes (PMN) and high concentration of PMN-elastase in edema fluid suggested activated PMN-mediated vascular endothelial injury, which caused an increase in permeability. Edema fluid and plasma contained high concentrations of Thromboxane B2 and 6-keto-PGF1 alpha at the stage of increased permeability. This suggested these chemical mediators participated in the mechanisms of increased permeability in reexpansion pulmonary edema.
Suzuki
S
S
Chida
M
M
Sakuma
T
T
Tanita
T
T
Ono
S
S
Fujimura
S
S
Okada
S
S
Nasu
G
G
Koike
K
K
Nakada
T
T
D000328:Adult; D002199:Capillary Permeability; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D009504:Neutrophils; D010196:Pancreatic Elastase / Q000378:metabolism; D011654:Pulmonary Edema / Q000209:etiology*; D013908:Thoracotomy
D010196:Pancreatic Elastase