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小儿神经源性肺水肿 被引量:54

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摘要 神经源性肺水肿(neurogenic pulmonarv edema,NPE)是指在无原发性心、肺和肾等疾病的情况下,由颅脑损伤或中枢神经系统(central nervoussystem,CNS)其他疾病引起的突发性颅内压增高而导致的急性肺水肿,称中枢性肺水肿。小儿NPE较成人相对少见,许多儿科临床医生对其缺乏认识。NPE起病急,治疗困难,病死率高(60%~100%),其临床过程和表现类似于急性呼吸窘迫综合征(acute respiratory distress syndrome.ARDS)。NPE还为CNS损伤后的肺部感染提供了一个易感环境,直接导致肺内氧弥散障碍,继而引起严重的低氧血症并加重脑的继发性损伤,成为影响患儿预后和导致患儿死亡的重要并发症之一。
出处 《中国小儿急救医学》 CAS 2007年第2期106-108,共3页 Chinese Pediatric Emergency Medicine
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