Recognition of cardiogenic pulmonary edema
10.3760/cma.j.issn.1673-4912.2018.04.001
- VernacularTitle:心源性肺水肿的再认识
- Author:
Xiaodi CAI
1
;
Guoping LU
Author Information
1. 复旦大学附属儿科医院PICU
- Keywords:
Cardiogenic pulmonary edema;
Diagnosis;
Critical care ultrasound
- From:
Chinese Pediatric Emergency Medicine
2018;25(4):241-245
- CountryChina
- Language:Chinese
-
Abstract:
Cardiogenic pulmonary edema(CPE)is the serious stage of acute or chronic heart failure, due to the increasing pulmonary capillary hydrostatic pressure.CPE is one of the common causes of acute hypoxic respiratory failure,which is characterized by dyspnea,wheezing,cyanosis,and pink foaming sputum. Early identification and proper intervention can reduce the length of mechanical ventilation and improve the prognosis.This article reviewed its etiology,pathology,physiology,clinical symptoms,focused on monitoring and diagnosis methods,including chest auscultation,X-ray,transpulmonary thermodilution,and so on,espe-cially in critical care ultrasound.The advantages and limitations of above methods in the intensive care unit were compared.