重型颅脑损伤合并神经源性肺水肿27例分析

Analysis on neurogenic pulmonary edema associated with severe craniocerebral trauma in 27 cases

目的探讨重型颅脑损伤合并神经源性肺水肿的诊断和治疗。方法回顾性分析5年来治疗的27例重型颅脑损伤合并神经源性肺水肿的临床资料,分析其临床表现和治疗方法、疗效。结果27例患者存活12例,死亡15例。死亡率55.56%。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。

Objective To explore the diagnosis and treatment of neurogenic pulmonary edema associated in cases of severe craniocerebral trauma. Methods A retrospective study was carried out in 27 cases of severe craniocerebral trauma complicated with nenrogenic pulmonary edema in this hospital in recent 5 years, and their clinical features, diagnostic criteria and treatment were studied. Results In all these patients, 12 of them were rescued and 15 died. Conclusion Severe craniocerebral trauma associated with nenrogenic pulmonary edema is one of the important causes leading to death.