Wauchob T D, Brooks R J, Harrison K M
Anaesthesia. 1984 Jun;39(6):529-34. doi: 10.1111/j.1365-2044.1984.tb07355.x.
Two young patients with head injuries subsequently developed neurogenic pulmonary oedema. The origin and pathways of the reflex response to cerebral trauma are discussed, with emphasis on the role of raised intracranial pressure and the sympathetic division of the autonomic nervous system in precipitating movement of systemic circulatory volume into the pulmonary circulation. Therapeutic measures are discussed which correct the progression of this condition by reducing intracranial pressure and blocking the systemic effects of autonomic reflex activity. This leads to the basis of a simple regime to treat future cases.
两名头部受伤的年轻患者随后出现了神经源性肺水肿。本文讨论了对脑外伤的反射反应的起源和途径，重点强调了颅内压升高和自主神经系统交感神经分支在促使体循环血量进入肺循环过程中的作用。文中还讨论了通过降低颅内压和阻断自主反射活动的全身效应来纠正这种病情进展的治疗措施。这为治疗未来病例奠定了一个简单方案的基础。
