Gropper M A, Wiener-Kronish J P, Hashimoto S
Department of Anesthesia, UCSF Medical Center.
Clin Chest Med. 1994 Sep;15(3):501-15.
This article examines the pathophysiology, diagnosis, treatment, and outcome of acute cardiogenic pulmonary edema, as well as re-expansion, high-altitude, postobstructive, and neurogenic pulmonary edemas. Acute cardiogenic pulmonary edema most commonly presents as a consequence of congestive heart failure. The other important causes are acute myocardial dysfunction, documented myocardial infarction, postoperative cardiac dysfunction, and pulmonary hypertension. All these entities have in common increased pulmonary vascular pressures that lead to pulmonary edema.
本文探讨急性心源性肺水肿、复张性肺水肿、高原性肺水肿、梗阻后肺水肿和神经源性肺水肿的病理生理学、诊断、治疗及预后。急性心源性肺水肿最常见的表现是充血性心力衰竭的结果。其他重要原因包括急性心肌功能障碍、确诊的心肌梗死、术后心脏功能障碍和肺动脉高压。所有这些情况的共同之处在于肺血管压力升高导致肺水肿。