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[非心源性肺水肿]

[Non-cardiogenic pulmonary edema].

作者信息

Laggner A, Kleinberger G, Czembirek H, Druml W, Lenz K

出版信息

Acta Med Austriaca. 1983;10(5):147-53.

PMID:6607583
Abstract

Non-cardiac pulmonary edema comprises all types of pulmonary edema not caused by increase of left ventricular filling pressure and elevated pulmonary capillary pressure. In one year 42 patients at our intensive care unit developed non-cardiac pulmonary edema. In a retrospective study the clinical, radiological and functional changes in patients with non-cardiac pulmonary edema were determined. 76% of the patients had multiple causes for development of non-cardiac pulmonary edema. Sepsis was the most frequent predisposing disease. Over-all mortality reached up to 69%. Additional organ failure caused an increase in mortality. Patients without complications had the best prognosis. Mechanical ventilation (69%), high-dose corticosteroids (50%), hemodialysis with ultrafiltration (33.3%) and hemofiltration (7.1%) were used for treatment of non-cardiac pulmonary edema.

摘要

非心源性肺水肿包括所有并非由左心室充盈压升高和肺毛细血管压升高所引起的肺水肿类型。在一年时间里,我们重症监护病房有42例患者发生了非心源性肺水肿。在一项回顾性研究中,对非心源性肺水肿患者的临床、放射学和功能变化进行了测定。76%的患者发生非心源性肺水肿有多种原因。脓毒症是最常见的诱发疾病。总体死亡率高达69%。其他器官衰竭导致死亡率上升。无并发症的患者预后最佳。机械通气(69%)、大剂量皮质类固醇(50%)、伴有超滤的血液透析(33.3%)和血液滤过(7.1%)被用于治疗非心源性肺水肿。

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