小儿神经源性肺水肿18例临床分析

目的 探讨小儿神经源性肺水肿(NPE)的病因、临床诊断和治疗.方法 回顾性分析18例NPE患儿的临床资料.结果 18例NPE患儿其中颅脑损伤2例(11.1％),颈脊髓损伤1例(5.5％),蛛网膜下腔出血2例(11.1％),癫痫持续状态2例(11.1％),非手足口病引起脑炎3例(16.6％),手足口病引起NPE 8例(45.6％),存活6例(33.3％),死亡12例(66.7％).结论 小儿NPE病因以中枢神经系统感染多见,预后差,早期诊断早期治疗可提高疗效,改善预后.

The clinical analysis of 18 children with neurogenic pulmonary edema

Objective To investigate the etiology clinical diagnosis and treatment of pediatric neurogenic pulmonary edema（NPE）. Methods The clinical data of 18 hospitalized children with NPE were retrospectively analyzed. Results 18 cases of NPE children with traumatic brain injury 2 cases （ 11.1% ）, cervical spinal cord injury 1 case （5.5 % ） and, subarachnoid hemorrhage 2 cases （ 11.1% ）, and epilepticus states 2 cases （ 11. 1% ）, non-HFMD caused encephalitis 3 cases （ 16.6% ）, NPE caused hand, foot and mouth disease 8 cases （45.6%）, survival 6 cases （33.3%） and 12 patients died （66.7%）in 18 hospitalized children with NPE. Conclusion The common cause of pediatric NPE was central nervous System infections and poor prognosis, early diagnosis and early treatment could improve the efficacy and prognosis.