重症颅脑疾病并发神经源性肺水肿临床分析

摘要

Objective To investigate the clinical characteristics of patients with severe brain disease combined with neuro-genic pulmonary edema (NPE)·Methods The data of 31 patients with severe brain disease combined NPE from January 2010 to October 2013 in our hospital were retrospectively analyzed·Results Patients with severe brain disease combined NPE had the following clinical characteristics : symptomatic lung rales ,dyspnea ,higher PaCO2 and respiratory rate and lower SaO2·Conclusion Early prevention and treatment of patients with severe brain disease combined with NPE is the key to im-prove the clinical prognosis.%目的：分析重症颅脑疾病合并神经源性肺水肿（NPE）的临床特征。方法回顾分析2010-01-2013-10我院31例重症颅脑疾病合并NPE患者的临床资料。结果重症颅脑疾病患者在发生NEP后，双肺啰音、呼吸困难发生率、PaCO2以及呼吸频率均显著提高，而SaO2显著降低（P＜0·05）。结论早期预防和治疗重症颅脑疾病合并神经源性肺水肿是改善患者临床预后的关键。