Neurogenic pulmonary edema in head injuries: analysis of 5 cases.

Autor: Qin SQ; Department of Neurosurgery, Second Hospital of Shandong University, Jinan 250033, China. shiqiang_qin@yahoo.com.cn, Sun W, Wang HB, Zhang QL
Jazyk: angličtina
Zdroj: Chinese journal of traumatology = Zhonghua chuang shang za zhi [Chin J Traumatol] 2005 Jun; Vol. 8 (3), pp. 172-4, 178.
Abstrakt: Objective: To review the pathophysiology and study the diagnosis and clinical management of neurogenic pulmonary edema (NPE).
Methods: The data of 5 patients who developed NPE after head injury treated in our hospital form December 1995 to May 2003 were collected and analyzed.
Results: The patients developed dyspnea and respiratory failure 2-8 hours after neurologic event. Four of the 5 patients presented with pink frothy sputum. Chest radiography showed bilateral diffuse infiltrations in all the 5 patients. After supportive measures such as oxygen support and pharmacologic therapy, 4 patients recovered in 72 hours and one patient died.
Conclusions: The pathophysiologic mechanisms of NPE is unclear. In acute respiratory failure following head injury, NPE must be given much attention and timely and effective measures should be taken.
Databáze: MEDLINE