Archibald R B, Armstrong J D
Postgrad Med. 1978 Jan;63(1):210-3. doi: 10.1080/00325481.1978.11714739.
A 32-year-old man with a long history of grand mal seizures but otherwise good health had recurrent episodes of postictal pulmonary edema when he failed to take anticonvulsant medication regularly. This case illustrates most of the features observed in other reported cases of postictal pulmonary edema. Symptoms include dyspnea and cough with production of various quantities of mucoid fluid that may be copious and frankly hemorrhagic. Blood pressure is normal, and temperature may be normal also but is frequently elevated to 100 or 101 F. No cardiac irregularities are heard on auscultation, and the ECG is often normal, but a wide range of abnormalities may be seen. Considerable arterial hypoxemia may occur, and leukocytosis (11,000 to 14,000 cells per cubic millimeter) is common. Rales and rhonchi are audible, and chest films often show bilateral upper and middle lobe infiltrates. The patient is usually clinically improved within 24 hours and the pulmonary edema completely cleared in three to five days.
一名32岁男性，有长期大发作癫痫病史，但其他方面健康状况良好，当他未规律服用抗惊厥药物时，反复出现发作后肺水肿。该病例体现了其他报道的发作后肺水肿病例中观察到的大多数特征。症状包括呼吸困难和咳嗽，咳出不同量的黏液性液体，可能量很多且有明显出血。血压正常，体温可能正常，但常升高至100华氏度或101华氏度。听诊未闻及心脏异常，心电图通常正常，但也可见多种异常。可能会出现明显的动脉血氧不足，白细胞增多（每立方毫米11,000至14,000个细胞）很常见。可闻及湿啰音和干啰音，胸部X线片常显示双侧上叶和中叶浸润。患者通常在24小时内临床症状改善，肺水肿在三至五天内完全消退。
