A 24-years old femal was received a surgical operation for chronic parasinusitis under local anesthesia. Immediatly after the injection of local anesthetics, she lost her consciousness, and cardio-repiratory arrest was observed. On resuscitation she got in trouble of pulmonary edema and treatment for pulmonary edema was temporarily successful. But she died after about 33 hours following 2 nd episode of pulmonary edema.