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高血压性脑出血并发肺水肿46例临床分析
引用本文:刘家明,赵保钢,贾兆坤.高血压性脑出血并发肺水肿46例临床分析[J].中国实用神经疾病杂志,2009,12(9).
作者姓名:刘家明  赵保钢  贾兆坤
作者单位:首都医科大学大兴医院神经外科,北京,102600
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(>51ml,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.

关 键 词:高血压  脑出血  颅内压  肺水肿

Clinical analysis of 46 patients with pneumonedema after hypertensive hemorrhage
Liu Jiaming,Zhao Baogang,Jia Zhaokun.Clinical analysis of 46 patients with pneumonedema after hypertensive hemorrhage[J].Chinese Journal of Practical Neruous Diseases,2009,12(9).
Authors:Liu Jiaming  Zhao Baogang  Jia Zhaokun
Institution:Liu Jiaming,Zhao Baogang,Jia Zhaokun.Department of Neurosurgery,Daxing Hospital of Capital University of Medical Sciences,Beijing 102600,China
Abstract: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 a...
Keywords:Hypertension  Cerebral hemorrhage  Intracranial pressure  Pneumonedema  
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