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目的分析脑出血及蛛网膜下腔出血并发神经源性肺水肿及3级高血压临床表现、发病机制、治疗及预后。方法对40例脑出血及蛛网膜下腔出血并发神经源性肺水肿患者的病例资料及其临床表现及预后进行分析。结果两类脑出血性疾病合并神经源性肺水肿患者总死亡率高达62.5%,并发3级高血压患者死亡率达到71.9%,与合并3级高血压以下组比较,差异有统计学意义(χ2=4.17,P<0.05)。结论脑出血及蛛网膜下腔出血并发神经源性肺水肿起病急,病情重,死亡率高,对同时合并有3级高血压的神经源性肺水肿患者积极降低颅内压、控制血压有利于改善预后降低死亡率。
Objective To analyze the clinical manifestations, pathogenesis, treatment and prognosis of cerebral hemorrhage and subarachnoid hemorrhage complicated with neurogenic pulmonary edema and grade 3 hypertension. Methods 40 cases of cerebral hemorrhage and subarachnoid hemorrhage complicated with neurogenic pulmonary edema in patients with clinical data and clinical manifestations and prognosis were analyzed. Results The total mortality of patients with cerebral hemorrhagic disease and neurogenic pulmonary edema was 62.5% and 71.9% respectively. There was a significant difference between the two groups (χ2 = 4.17, P <0.05). Conclusions Cerebral hemorrhage and subarachnoid hemorrhage complicated with neurogenic pulmonary edema are acute onset, severe illness and high mortality. Patients with neurogenic pulmonary edema who have grade 3 hypertension at the same time are active in lowering intracranial pressure and controlling blood pressure. Help to improve prognosis and reduce mortality.