Weir B K
J Neurosurg. 1978 Oct;49(4):502-7. doi: 10.3171/jns.1978.49.4.0502.
A retrospective clinico-pathological analysis of 78 cases of fatal subarachnoid hemorrhage (SAH) was carried out: 71% had a pathological diagnosis of pulmonary edema (PE), and of these 31% had a clinical diagnosis of PE. Patients with pathological PE were younger and died sooner after their SAH than those without. The incidence of PE fell with the passage of time following SAH, while the occurrence of pneumonia and embolism increased. There were hypoxemia and hypocapnia in both groups, more severe in the group that had pathological PE. The pathophysiology of neurogenic PE is discussed and possible therapeutic approaches indicated.
对78例致命性蛛网膜下腔出血（SAH）病例进行了回顾性临床病理分析：71%有肺水肿（PE）的病理诊断，其中31%有PE的临床诊断。有病理PE的患者比没有的患者更年轻，在SAH后死亡更快。SAH后PE的发生率随时间推移而下降，而肺炎和栓塞的发生率增加。两组均有低氧血症和低碳酸血症，有病理PE的组更严重。讨论了神经源性PE的病理生理学并指出了可能的治疗方法。
