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头部损伤后急性肺水肿:两例报告

Acute pulmonary edema following head injury: two case reports.

作者信息

Cohen H B, Gambill A F, Eggers G W

出版信息

Anesth Analg. 1977 Jan-Feb;56(1):136-9. doi: 10.1213/00000539-197701000-00034.

DOI:10.1213/00000539-197701000-00034
PMID:556904
Abstract

An acute episode of pulmonary edema may occur in association with head injury. This is due to the elevation of systemic blood pressure, to maintain cerebral circulation in the presence of increasing intracranial pressure (ICP). In these instances, the pulmonary edema arises as a pathophysiologic, neurohemodynamic response to the intracranial disease. This response has been produced experimentally, and 2 case reports described this problem clinically. If such patients with increased ICP could be treated immediately with antihypertensive drugs, pulmonary edema might be prevented and the high mortality rate decreased.

摘要

肺水肿的急性发作可能与头部损伤有关。这是由于在颅内压(ICP)升高的情况下,为维持脑循环而导致全身血压升高。在这些情况下,肺水肿是作为对颅内疾病的一种病理生理、神经血液动力学反应而出现的。这种反应已通过实验产生,并且有2例病例报告从临床角度描述了这个问题。如果能立即用降压药治疗这些颅内压升高的患者,或许可以预防肺水肿并降低高死亡率。

相似文献

1
Acute pulmonary edema following head injury: two case reports.头部损伤后急性肺水肿:两例报告
Anesth Analg. 1977 Jan-Feb;56(1):136-9. doi: 10.1213/00000539-197701000-00034.
2
Neurogenic pulmonary edema in childhood.儿童神经源性肺水肿
J Pediatr. 1979 May;94(5):706-9. doi: 10.1016/s0022-3476(79)80134-1.
3
Neurogenic pulmonary edema and variations of hemodynamic volumetric parameters in children following head trauma.颅脑损伤后儿童神经源性肺水肿与血流动力学容量参数变化
Minerva Anestesiol. 2013 Oct;79(10):1140-6. Epub 2013 Jul 1.
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Neurogenic pulmonary oedema.神经源性肺水肿
Anaesthesia. 1984 Jun;39(6):529-34. doi: 10.1111/j.1365-2044.1984.tb07355.x.
5
Pulmonary edema as a complication of increased intracranial pressure.
South Med J. 1972 Nov;65(11):1352-5. doi: 10.1097/00007611-197211000-00012.
6
Increased intracranial pressure and pulmonary edema. 1. Clinical study of 11 patients.颅内压升高与肺水肿。1. 11例患者的临床研究。
J Neurosurg. 1968 Feb;28(2):112-7. doi: 10.3171/jns.1968.28.2.0112.
7
[Permeability pulmonary edema (neurogenic pulmonary edema) following isolated head and brain injury].[孤立性头部和脑损伤后的通透性肺水肿(神经源性肺水肿)]
Anaesthesist. 1983 Sep;32(9):417-26.
8
Neurogenic pulmonary edema in fatal and nonfatal head injuries.致命性和非致命性头部损伤中的神经源性肺水肿
J Trauma. 1995 Nov;39(5):860-6; discussion 866-8. doi: 10.1097/00005373-199511000-00009.
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Pathogenesis of pulmonary edema following head trauma. An experimental study.头部外伤后肺水肿的发病机制。一项实验研究。
J Trauma. 1968 Sep;8(5):800-11. doi: 10.1097/00005373-196809000-00023.
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Emergency care of the patient with neurogenic pulmonary edema.神经源性肺水肿患者的急救护理
J Emerg Nurs. 1987 Jul-Aug;13(4):244-8.

引用本文的文献

1
Neurogenic pulmonary oedema.神经源性肺水肿。
J Accid Emerg Med. 1998 Jul;15(4):275-6. doi: 10.1136/emj.15.4.275.
2
Neurogenic pulmonary edema during hyperpyrexic convulsions.高热惊厥时的神经源性肺水肿。
Indian J Pediatr. 1983 Sep-Oct;50(406):561-4. doi: 10.1007/BF02753301.
3
[A case of centrogenic pulmonary edema].
Can Anaesth Soc J. 1978 May;25(3):231-5. doi: 10.1007/BF03004885.