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Published on: June 21, 2019
Neurogenic pulmonary edema in head injuries: analysis of 5 cases
Shi-qiang Qin1, Wei Sun, Han-bin Wang
1Department of Neurosurgery, Second Hospital of Shandong University, Jinan 250033, China. shiqiang_qin@yahoo.com.cn
Objective:
To review the pathophysiology and study the diagnosis and clinical management of neurogenic pulmonary edema (NPE).
Methods:
The data of 5 patients who developed NPE after head injury treated in our hospital form December 1995 to May 2003 were collected and analyzed.
Results:
The patients developed dyspnea and respiratory failure 2-8 hours after neurologic event. Four of the 5 patients presented with pink frothy sputum. Chest radiography showed bilateral diffuse infiltrations in all the 5 patients. After supportive measures such as oxygen support and pharmacologic therapy, 4 patients recovered in 72 hours and one patient died.
Conclusions:
The pathophysiologic mechanisms of NPE is unclear. In acute respiratory failure following head injury, NPE must be given much attention and timely and effective measures should be taken.
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