重型颅脑损伤并发神经源性肺水肿的诊断和治疗

目的：探讨重型颅脑损伤并发神经源性肺水肿（NPE）的临床特点和治疗方法。方法：分析24例并发急性神经源性肺水肿患者的早期临床表现、治疗方法及与患者预后的关系。结果：本组24例NPE患者中死亡12例（50.0%）,存活12例（50.0%）,其中,轻残1例（4.2%）,中残4例（16.7%）,重残6例（25.0%）,恢复良好1例（4.2%）。结论：早期诊断,迅速降低颅内高压,及时行气管切开,呼吸机辅助呼吸,激素等综合治疗可降低患者的死亡率,改善预后。

Diagnosis and therapy on neurogenic pulmonary edema associated with severe craniocerebral trauma

Objective：To explore the clinical features and treatment of neurogenic pulmonary edema associated in cases of severe craniocerebral trauma.Methods：A retrospective study was carried out in 24 cases of severe craniocerebral trauma complicated with neurogenic pulmonary edema and the relation of early clinical features,diagnostic criteria and prognosis.Results： In all these 24 patients,12 cases of them（50%） were died and 12 cases（50.0%） rescued.In the rescued patients,1 case（4.2%）was slightly disability,4 cases（16.7%） were middle disability and 6 cases（25.0%） were severe disability and 1 case（4.2%）was cured.Conclusion： Combined modality therapy with early diagnosis,quickly intracranial hypertension decrease,incision of tracheal in time,assisted respiration and hormone could decrease the death rate and improve prognosis.