桥延部肿瘤显微外科手术后神经源性肺水肿6例分析

Analysis of 6 cases of neurogenic pulmonary edema after microsurgery of tumor in the bridge extension

收集2018年1月—2020年12月期间首都医科大学附属北京天坛医院重症医学科治疗的桥延部肿瘤显微外科手术后神经源性肺水肿(NPE)6例病例资料,进行临床特点及诊疗方法回顾性分析。该组病例NPE发生时间为术后2~7天,所有患者均表现为严重的低氧血症,听诊双肺可闻及明显的湿啰音。增加呼气末正压可改善NPE患者的氧合,实施气管切开可缩短其ICU住院时间。早期诊断和正确治疗NPE可缩短病程,改善患者预后。

The data of 6 cases of neurogenic pulmonary edema(NPE)after microsurgery for medullar and pons tumors admitted to Beijing Tiantan Hospital,Capital Medical University from January 2018 to December 2020 were collected,and the clinical characteristics and diagnosis and treatment methods were retrospectively analyzed.In this group of cases,NPE occurred 2-7 days after surgery.All patients presented with severe hypoxemia,and obvious moist rales could be heard in both lungs on auscultation.Increasing positive end-expiratory pressure can improve oxygenation in NPE patients,and tracheotomy can shorten ICU stay.Early diagnosis and correct treatment of NPE can shorten the course of disease and improve patient prognosis.