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蛛网膜下腔出血(SAH)并发神经源性肺水肿(NPE)并不少见,但未引起临床医生的足够重视。本文就在急诊工作中所救治的2例 SAH 并发 NPE 的病人介绍如下。1 临床资料病例1:女,56岁。在干活时突发神志不清,摔倒在地,在当地医院给予甘露醇250 ml 静滴后转送我院。转送途中出现呼吸急促,咯粉红色泡沫痰,既往无高血压、糖尿病、头昏头痛等病史。入院检查:T 36.5℃,P 130次/min,R 36次/min,BP 130/100 mmHg,浅昏迷,烦躁不安,口唇及肢端紫绀,口鼻腔喷出粉红色泡沫样物,两瞳孔等大等圆,对光反射
Subarachnoid hemorrhage (SAH) complicated by neurogenic pulmonary edema (NPE) is not uncommon, but did not attract enough attention of clinicians. This article on emergency services in the two cases of SAH complicated with NPE patients are as follows. 1 clinical data Case 1: Female, 56 years old. In working suddenly unconscious, fell to the ground, given in the local hospital mannitol 250 ml intravenous infusion of our hospital. Transfer appears shortness of breath, slightly pink foam sputum, no history of high blood pressure, diabetes, dizziness and headache. Admission examination: T 36.5 ℃, P 130 beats / min, R 36 beats / min, BP 130/100 mmHg, superficial coma, restlessness, cyanosis of lips and extremities, pink and blue foam in mouth and nose, two pupils Big round, light reflection