神经源性肺水肿(NPE)是由继发于各种中枢神经损伤所致的突发性颅内压增高,下丘脑功能紊乱而引起的急性肺水肿。如果不能及时纠正肺水肿,顽固性的重度低氧血症会很快危及患者生命。近3年来我们收治了9例神经源性肺水肿患者,在气管插管、吸氧、吸痰、强心、扩血管、利尿、脱水降颅压等常规抢救治疗无效时,及时改用呼气末正压 Neurogenic pulmonary edema (NPE) is acute pulmonary edema caused by sudden increase of intracranial pressure and dysfunction of the hypothalamus caused by various central nervous system injuries. If you can not promptly correct pulmonary edema, intractable severe hypoxemia will soon endanger the lives of patients. In the past three years, we have treated 9 patients with neurogenic pulmonary edema. In the endotracheal intubation, oxygen inhalation, suction, cardiac, vasodilator, diuretic, dehydration and intracranial pressure and other conventional rescue treatment is invalid, timely switch to expiratory Positive pressure at the end