Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2005
Neurogenic pulmonary edema in head injuries: analysis of 5 cases.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Qin Shi-qiang, Sun Wei, Wang Han-bin, Zhang Qing-lin
Аннотация
OBJECTIVE: To review the pathophysiology and study the diagnosis and clinical management of neurogenic pulmonary edema (NPE).
METHODS: The data of 5 patients who developed NPE after head injury treated in our hospital form December 1995 to May 2003 were collected and analyzed.
RESULTS: The patients developed dyspnea and respiratory failure 2-8 hours after neurologic event. Four of the 5 patients presented with pink frothy sputum. Chest radiography showed bilateral diffuse infiltrations in all the 5 patients. After supportive measures such as oxygen support and pharmacologic therapy, 4 patients recovered in 72 hours and one patient died.
CONCLUSIONS: The pathophysiologic mechanisms of NPE is unclear. In acute respiratory failure following head injury, NPE must be given much attention and timely and effective measures should be taken.
METHODS: The data of 5 patients who developed NPE after head injury treated in our hospital form December 1995 to May 2003 were collected and analyzed.
RESULTS: The patients developed dyspnea and respiratory failure 2-8 hours after neurologic event. Four of the 5 patients presented with pink frothy sputum. Chest radiography showed bilateral diffuse infiltrations in all the 5 patients. After supportive measures such as oxygen support and pharmacologic therapy, 4 patients recovered in 72 hours and one patient died.
CONCLUSIONS: The pathophysiologic mechanisms of NPE is unclear. In acute respiratory failure following head injury, NPE must be given much attention and timely and effective measures should be taken.
Предметные рубрики MeSH
AdolescentAdultCombined Modality TherapyCraniocerebral TraumaFemaleHumansInjury Severity ScoreMaleMiddle AgedPositive-Pressure RespirationPrognosisPulmonary EdemaRespiratory Function TestsRisk AssessmentSampling StudiesSeverity of Illness IndexSurvival RateThrombolytic TherapyTomography, X-Ray Computed