高血压性脑出血并发肺水肿46例临床分析  

Clinical analysis of 46 patients with pneumonedema after hypertensive hemorrhage

作　　者：刘家明[1] 赵保钢[1] 贾兆坤[1] 

机构地区：[1]首都医科大学大兴医院神经外科,北京102600

出　　处：《中国实用神经疾病杂志》2009年第9期3-6,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨高血压性脑出血并发肺水肿的发生率、易发因素、临床特征、发生机制及预防、治疗。方法对46例NPE患者的临床资料进行回顾性分析。结果肺水肿组多发生于丘脑出血及壳核出血(>51 ml,P<0.01),且与颅内高压密切相关(P<0.05),易并发肺部感染(P<0.05)。结论肺水肿是高血压性脑出血病情垂危的重要标志,预防NPE的发生是减少该类病人死亡的一个重要因素,预防和治疗的关键在于急性脑出血早期迅速、有效减低颅内压。Objective To research the incidence, induction factor, clinical features, generative mechanism, prevention and treatment of hypertensive cerebral hemorrhage with pneumonedema. Methods The clinical features of 46 patients with pneumonedema after hypertensive hemorrhage were analyzed retrospectively. Results Pneumonedema usually happened after thalamus hemorrhage, subcortical hemorrhage（〉51ml）, also closely related to intracranial hypertension（P〈0.05 ）. It was easily combined with pneumonia. Conclusion Pneumonedema is an important sign of hypertensive cerebral hemorrhage in very dangerous condition. It is an important step to prevent pneumonedema, so as to decrease mortality. It is key for prevention and treatment of pneumonedema to lower intracranial pressure promptly and effectively in the early stage of cerebral hemorrhage.

关 键 词：高血压 脑出血 颅内压 肺水肿 

分 类 号：R743.34[医药卫生—神经病学与精神病学]