[Non-cardiac pulmonary edema in a patient with recent cardiac pulmonary edema].
Pulmonary oedema may be cardiac or non-cardiac in origin: these two forms are clinically indistinguishable and their treatments are completely different. A case of pulmonary oedema is reported. This was believed to be of cardiac origin but did not respond to conventional treatment with diuretics and positive fibrotropic drugs. Insertion of a Swan-Ganz catheter revealed low capillary wedge on pressure. This, in turn, indicates that pulmonary oedema is non-cardiac in origin. The administration of liquids and cortisones led to a rapid improvement in the patient's condition. It is concluded that, whenever conventional treatment of pulmonary oedema fails, the possibility of non-cardiac oedema should be considered. In order to check this, capillary wedge pressure is measured.
D001784:Blood Gas Analysis; D001794:Blood Pressure; D002435:Cefamandole / Q000627:therapeutic use; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology; D011660:Pulmonary Heart Disease / Q000175:diagnosis*; D011669:Pulmonary Wedge Pressure
D002435:Cefamandole
Edema polmonare non cardiaco in un paziente con recente edema polmonare cardiaco.