目的　探讨急性脑血管病并发神经源性肺水肿的发病机理以及诊断与防治。方法　对 4 0例并发于急性脑血管病后神经源性肺水肿资料进行回顾性总结与分析 ,对其好发时间、与原发病病情的关系、诊断以及病情转归作初步分析与总结。结果　 4 0例中大部分并发于急性脑血管病后 4 8h内 ,原发病越重 ,并发率越高 ,且愈后差 ,死亡率达 70 %。结论　急性脑血管病并发神经源性肺水肿起病急 ,病情重 ,愈后差 ,死亡率高 ,应早期诊断 ,预防为主 Objective To investigate the pathogenesis, diagnosis, prevention and treatment of acute cerebrovascular disease complicated with neurogenic pulmonary edema. Methods The data of 40 patients with neurogenic pulmonary edema complicated by acute cerebrovascular disease were retrospectively reviewed and analyzed. The relationship between the time of their onset, the relationship with the primary disease, the diagnosis and the outcome of the disease were analyzed and summarized. Results Most of the 40 cases were complicated with acute cerebrovascular disease within 48 h after the onset of the disease. The more severe the primary disease was, the higher the recurrence rate was and the worse the prognosis was. The mortality rate was 70%. Conclusions Acute cerebrovascular disease complicated with neurogenic pulmonary edema, acute onset, severe illness, poor prognosis, high mortality, early diagnosis and prevention should be based