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神经源性肺水肿:孕产妇虚脱的罕见原因。

Neurogenic pulmonary oedema: a rare cause of maternal collapse.

作者信息

Farooq Huma, Veerareddy Sukrutha, Silber Eli

机构信息

Department of Obstetrics & Gynaecology, Lewisham and Greenwich NHS Trust, London, UK.

Kings College Hospital NHS Trust, London, UK.

出版信息

BMJ Case Rep. 2017 Jun 26;2017:bcr2016217375. doi: 10.1136/bcr-2016-217375.

Abstract

Acute pulmonary oedema is a significant cause of morbidity and mortality in pregnant and postpartum women. We present an unusual case of near-fatal acute pulmonary oedema in a pregnant woman, which was attributed to the acute onset of neurogenic pulmonary oedema secondary to epileptic seizure activity. The patient required supportive management in the intensive care setting for a short period and subsequently made complete recovery with regular neurological follow-up arranged for the management of her epilepsy.

摘要

急性肺水肿是导致孕妇和产后女性发病和死亡的重要原因。我们报告了一例孕妇发生近乎致命的急性肺水肿的罕见病例,其病因是癫痫发作活动继发的神经源性肺水肿急性发作。患者在重症监护室接受了短期的支持治疗,随后通过定期的神经科随访安排对其癫痫进行管理,最终完全康复。

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[Postictal pulmonary oedema: a review of the literature].[癫痫发作后肺水肿:文献综述]
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本文引用的文献

1
Neurogenic pulmonary edema: An etiological factor for SUDEP?神经源性肺水肿:癫痫猝死的一个病因?
Epilepsy Behav. 2015 Nov;52(Pt A):76-7. doi: 10.1016/j.yebeh.2015.08.010. Epub 2015 Sep 25.
2
Neurogenic Pulmonary Edema.神经源性肺水肿。
Crit Care Med. 2015 Aug;43(8):1710-5. doi: 10.1097/CCM.0000000000001101.
3
The mechanism of neurogenic pulmonary edema in epilepsy.癫痫中神经源性肺水肿的机制。
J Physiol Sci. 2014 Jan;64(1):65-72. doi: 10.1007/s12576-013-0291-6. Epub 2013 Oct 20.
4
Acute pulmonary oedema in pregnant women.孕妇急性肺水肿。
Anaesthesia. 2012 Jun;67(6):646-59. doi: 10.1111/j.1365-2044.2012.07055.x. Epub 2012 Mar 15.
8
Acute neurogenic pulmonary edema: case reports and literature review.急性神经源性肺水肿:病例报告与文献综述
J Neurosurg Anesthesiol. 2003 Apr;15(2):144-50. doi: 10.1097/00008506-200304000-00013.
9
Acute pulmonary edema in pregnancy.妊娠期急性肺水肿
Obstet Gynecol. 2003 Mar;101(3):511-5. doi: 10.1016/s0029-7844(02)02733-3.

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