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Presse Med ; 30(3): 112-4, 2001 Jan 27.
Artigo em Francês | MEDLINE | ID: mdl-11225479

RESUMO

BACKGROUND: Acute pulmonary edema may be induced by beta 2-mimetics used for tocolysis. CASE REPORT: A 41-year-old patient, admitted for preterm labor, presented acute pulmonary edema after parenteral tocolysis using salbutamol in combination with corticosteroid therapy to improve fetal pulmonary maturation. DISCUSSION: The pathogenic mechanism is essentially non-cardiologic. Fluid retention is probably the main cause, potentially worsened by corticosteroid administration. If detected early, pulmonary edema is usually and adequately treated by cessation of beta 2-sympathomimetic therapy, oxygen administration and diuretics. Mechanical ventilation can be required. Cardiac function must be assessed after this complication. In preterm labor, the duration of tocolysis with beta 2-sympatomimetics should be reduced.


Assuntos
Albuterol/efeitos adversos , Complicações na Gravidez/induzido quimicamente , Edema Pulmonar/induzido quimicamente , Tocolíticos/efeitos adversos , Doença Aguda , Adulto , Feminino , Humanos
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