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本文报道原发性癫痫发作和电休克疗法后引起的肺水肿各1例。电休克治疗后导致神经性肺水肿尚未见报道。例1,男性,35岁。在几次癫痫大发作后表现为突发性气促和咳嗽。除出生后有智力迟钝和癫痫史外,无心肺疾病既往史。体温37.4℃,胸片示左肺有绒毛样阴影,多次听诊无异常发现。血白细胞12,900/mm~3,发作后经气管吸出分泌物培养无细菌生长。心电图 P-R 间期为0.11sec。肺水肿发生后24小时,胸片复查已完全正常。白细胞降到7,000/mm~3。例2,女性,44岁。患严重抑郁症约7年,用三环抗忧郁药治疗无效,抑郁症表现为口腔和舌疼痛而拒食,但检查口腔未见病损。因拒食引起极度消瘦,
This article reports 1 case of pulmonary edema caused by primary epileptic seizures and electroconvulsive therapy. Electro-shock therapy lead to neurogenic pulmonary edema has not been reported. Example 1, male, 35 years old. After several episodes of epilepsy manifested as sudden shortness of breath and cough. In addition to mental retardation and epilepsy after birth, no history of heart and lung disease. Body temperature 37.4 ℃, chest X-ray showed a villous shadow of the left lung, many times no abnormal findings auscultation. Blood leukocytes 12,900 / mm ~ 3, after the onset of tracheal aspiration secretion culture without bacterial growth. The P-R interval was 0.11sec. 24 hours after pulmonary edema, chest X-ray examination has been completely normal. White blood cells dropped to 7,000 / mm ~ 3. Example 2, female, 44 years old. Suffering from major depression for about 7 years, with tricyclic antidepressants treatment ineffective depression manifested as oral and tongue pain and refused to eat, but check the oral lesions. Due to antifeedant caused by extreme weight loss,