急性重症脑血管病并发神经源性肺水肿28例分析  

Analysis of 28 cases of acute severe cerebrovascular disease neurogenic pulmonary edema

作　　者：胡承志[1] 杨静[1] 程立顺[1] 孟令毅[1] 

机构地区：[1]合肥市第一人民医院急诊科,安徽合肥230061

出　　处：《临床肺科杂志》2013年第7期1187-1188,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨急性重症脑血管病并发神经源性肺水肿(NPE)的临床特点和治疗方法。方法对我院28例急性重症脑血管病并发NPE进行回顾性分析。结果本组NPE均发生在急性重症脑血管病发病后4 h内,病情进展迅速。存活5例,死亡23例,死亡率82.1%。结论 NPE是急性重症脑血管病患者死亡的主要原因之一,早期发现并及时抢救是救治成功的关键。治疗应兼顾肺部及颅脑损伤两方面。Objective To study clinical features and treatment methods of acute severe craniocerebral trauma complicated with neurogenic pulmonary edema（NPE）. Methods A retrospective study of 28 cases was conducted, who were admitted in our hospital with acute severe craniocerebral trauma complicated with NPE. Results In all patients, NPE occurred in four hours after acute severe cranioce- rebral trauma and progressed quickly,5 patients survived and 23 patients died. The mortality was 82. 1%. Conclusion NPE is the main cause of death in patients with acute severe craniocerebral trauma. Early diagnosis and prompt treatment are critical for the patients. The treatment should target at both lung and head injuries.

关 键 词：急性重症脑血管病 神经源性肺水肿 诊断 治疗 临床特点 

分 类 号：R743[医药卫生—神经病学与精神病学]