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急性肺水肿是由不同病因引起的征候群。一旦出现,如不及时抢救,病情迅速恶化,预后甚差。传统的综合疗法治疗急性肺水肿,对部分病人并不理想。笔者从一九八三年至一九八七年四年中以654—2为主抢救肺水肿31例,收到了较好的效果。 一、临床资料 (一)31例病人均符合急性肺水肿诊断标准,资料完整。(二)31例急性肺水肿病人均以654—2为主进行治疗。(三)31例急性肺水肿病人,男20例,女11例,年龄为18～70岁,平均48岁。临床类型,心源性24例,非心源性7例。病因,高血压病9列,冠心病11例,先心病2例,心肌炎2例,中毒性肺炎2冽,一氧化碳中毒2例,输液过量过快1例,尿毒症1例,脑溢血1例。就诊时间从10分钟到10小时不等。
Acute pulmonary edema is a syndrome caused by different causes. Once appear, if not rescued in time, the condition is deteriorating rapidly, the prognosis is very poor. The traditional comprehensive treatment of acute pulmonary edema, some patients are not ideal. From 1983 to 1987 four years to 654-2-based rescue of pulmonary edema in 31 cases, received good results. First, the clinical data (a) 31 patients are in line with the diagnostic criteria of acute pulmonary edema, the data is complete. (B) 31 cases of acute pulmonary edema were 654-2-based treatment. (C) 31 cases of acute pulmonary edema patients, 20 males and 11 females, aged 18 to 70 years, mean 48 years. Clinical type, 24 cases of cardiogenic, non-cardiogenic in 7 cases. Etiology, hypertension in 9, coronary heart disease in 11 cases, 2 cases of congenital heart disease, myocarditis in 2 cases, toxic pneumonia 2 冽, carbon monoxide poisoning in 2 cases, excessive infusion too fast in 1 case, uremia in 1 case, cerebral hemorrhage in 1 case. Visits range from 10 minutes to 10 hours.