| 重型颅脑损伤并发神经源性肺水肿15例诊治分析 |
| |
| 引用本文： | 史双瑜,黄军,王抗生.重型颅脑损伤并发神经源性肺水肿15例诊治分析[J].蚌埠医学院学报,2012,37(8):925-926,929. |
| |
| 作者姓名： | 史双瑜 黄军 王抗生 |
| |
| 作者单位： | 安徽省蚌埠市第二人民医院,脑外科,233000;安徽省蚌埠市第二人民医院,脑外科,233000;安徽省蚌埠市第二人民医院,脑外科,233000 |
| |
| 摘 要： | 目的:探讨重型颅脑损伤患者并发神经源性肺水肿的诊断及治疗要点.方法:对15例颅脑损伤并发神经源性肺水肿患者给予有效降低颅内压,保持呼吸道通畅,如吸氧不能纠正缺氧时使用呼吸机机械通气,应用血管扩张剂,减轻肺循环负荷,控制肺部感染等治疗.结果:存活7例,死亡8例.结论:重型颅脑损伤并发神经源性肺水肿是严重危害患者生命的脑外伤并发症.早期发现、及时治疗、积极抢救是提高救治成功率、降低病死率的关键.
|
| 关 键 词： | 颅脑损伤 神经源性肺水肿 诊断 治疗 |
Clinical analysis of 15 patients with severe craniocerebral injury complicated with neurogenic pulmonary edema |
| |
| SHI Shuang-yu
,
HUANG Jun
,
WANG Kang-sheng.Clinical analysis of 15 patients with severe craniocerebral injury complicated with neurogenic pulmonary edema[J].Journal of Bengbu Medical College,2012,37(8):925-926,929. |
| |
| Authors: | SHI Shuang-yu HUANG Jun WANG Kang-sheng |
| |
| Institution: | (Department of Cerebral Surgery,The Second People′s Hospital of Bengbu,Bengbu Anhui 233000,China) |
| |
| Abstract: | Objective:To explore the key points of diagnosis and treatment of severe craniocerebral injury complicated with neurogenic pulmonary edema(NPE).Methods:Fifteen patients with severe craniocerebral injury complicated with NPE were treated with reducing intracranial pressure and keeping airway open.The vasodilator agents,relieving pulmonary circulating load and controlling pulmonary infection were applied when hypoxic condition was not corrected after inhaling oxygen.Results:Seven patients survived and 8 patients died.Conclusions:The severe craniocerebral injury complicated with NPE is serious complications of severe craniocerebral injury.Early diagnosis and treatment are the key of improving the success rate of treatment and lowering the death rate. |
| |
| Keywords: | craniocerebral injury neurogenic pulmonary edema diagnosis treatment |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
