脑出血致神经源性肺水肿32例临床分析

Clinical analysis on 32 cases of neurogenic pulmonary edema complicated by cerebral hemorrhage

目的探讨脑出血致神经源性肺水肿(NPE)的发病机制及处理方法。方法对32例NPE患者的临床资料进行回顾性分析。结果 32例脑出血致NPE患者发病与脑出血和下丘脑功能紊乱有关,易合并应激性胃黏膜病变和中枢性高热。病死率73.3%。结论 NPE起病急,发展快,病死率高,须进行有效救治。

[Objective]To discuss the nosogenesis and solutions of neurogenic pulmonary edema（NPE） caused by cerebral hemorrhage.[Methods]The clinical data of 32 NPE patients were analyzed retrospectively.[Results]32 NPE cases were related to the cerebral hemorrhage and hypothalamic function disorder,and were more likely to be accompanied by irritable gastric mucosa lesion and central hyperpyrexia.The mortality was 73.3%.[Conclusion]NPE is extremely serious,and develops quickly.The mortality is high,which the effective treatment should be carried out.