Mélot C, Jacobs P, Naeije R
Ann Fr Anesth Reanim. 1984;3(1):41-3. doi: 10.1016/s0750-7658(84)80096-9.
A 44-year old man presented a postanoxic coma and acute pulmonary oedema after cardiopulmonary resuscitation in the acute phase of myocardial infarction. Early haemodynamic measurements revealed low right and left ventricular filling pressures and a low cardiac output. Haemodynamic and clinical improvement was obtained after volume expansion. The cause of low-pressure pulmonary oedema occasionally seen in patients with acute myocardial infarction is sometimes unclear. In the present case, a neurogenic mechanism may be involved. The early diagnosis of this oedema has important therapeutic implications.
一名44岁男性在心肌梗死急性期进行心肺复苏后出现缺氧后昏迷和急性肺水肿。早期血流动力学测量显示右心室和左心室充盈压较低，心输出量也较低。扩容后血流动力学和临床症状得到改善。急性心肌梗死患者偶尔出现的低压性肺水肿的病因有时并不明确。在本病例中，可能涉及神经源性机制。这种肺水肿的早期诊断具有重要的治疗意义。
