重型颅脑损伤合并神经源性肺水肿临床分析

• 作 者: 王晓伟 赵卫东
• 机 构: 成都市第五人民医院神经外科,四川大学华西医院/临床医学院教务部,
• 出 处: 现代预防医学
• 发表日期: 2009年15期
• 关键词: 重型颅脑损伤 神经源性肺水肿 低氧血症 神经功能障碍 瞳孔散大 急性硬膜下血肿 闭合性颅脑损伤 弥漫性轴索损伤 早期机械通气 开放性颅脑损伤

[目的]探讨颅脑损伤合并神经源性肺水肿的临床特点及诊治方法。[方法]回顾性分析2000～2007年收治的26例重型颅脑损伤合并神经源性肺水肿患者的临床资料。[结果]26例患者存活8例,其中3例遗留部分神经功能障碍,2例重残,死亡18例。[结论]重型颅脑损伤合并神经源性肺水肿是导致患者死亡的重要因素之一。早期发现,及时诊断,积极抢救,是提高救治成功率、降低死亡率的关键。

[Objective] To explore the clinical features and diagnosis and treatment of craniocerebral injury complicated with neurogenic pulmonary edema. [Methods] The clinical data of 26 patients with severe craniocerebral injury and neurogenic pulmonary edema admitted from 2000 to 2007 were retrospectively analyzed. [Results] Twenty-six patients survived in 8 cases, of which 3 left with partial neurological dysfunction, 2 with severe disability and 18 with death. [Conclusion] Severe craniocerebral injury combined with neurogenic pulmonary edema is one of the important factors leading to the death of patients. Early detection, timely diagnosis, and active rescue are the keys to improving the success rate and reducing the mortality rate.