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目的探讨高血压脑出血并发神经源性肺水肿的临床治疗经验。方法对58例高血压脑出血并发神经源性肺水肿患者进行早期诊断,及时正确治疗。结果神经源性肺水肿全组病人经格拉斯哥预后分级V级:14例,Ⅱ～Ⅳ级:18例,死亡26例,死亡率44.8%。结论是高血压脑出血常见的并发症,死亡率高,积极了解高血压脑出血并发神经源性肺水肿的发病机制,早期诊断,及时治疗,可降低死亡率。
Objective To investigate the clinical experience of hypertensive intracerebral hemorrhage complicated with neurogenic pulmonary edema. Methods 58 cases of hypertensive intracerebral hemorrhage complicated with neurogenic pulmonary edema in patients with early diagnosis, timely and correct treatment. Results All the patients with neurogenic pulmonary edema graded by Glasgow grade V: 14 cases, Ⅱ ~ Ⅳ: 18 cases, 26 deaths, the mortality rate was 44.8%. The conclusion is common complications of hypertensive intracerebral hemorrhage, high mortality, and actively understand the pathogenesis of hypertensive cerebral hemorrhage complicated with neurogenic pulmonary edema, early diagnosis and timely treatment, can reduce mortality.