Ultrasound-guided treatment of neurogenic pulmonary edema: a case report and literature review
10.3760/cma.j.cn431274-20240613-00932
- VernacularTitle:超声指导神经源性肺水肿治疗1例并文献复习
- Author:
Lin SHANG
1
;
Jun DUAN
;
Hui WANG
;
Tao LI
;
Chen LI
Author Information
1. 成都市新都区第三人民医院重症医学科，成都 610000
- Publication Type:Journal Article
- Keywords:
Pulmonary edema, neurogenic;
Craniocerebral trauma;
Point-of-care ultrasound
- From:
Journal of Chinese Physician
2025;27(6):885-889
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the pathogenesis, clinical manifestations and ultrasonic imaging features of neurogenic pulmonary edema, aiming to improve clinicians' diagnosis and treatment level of neurogenic pulmonary edema and reduce missed diagnosis and misdiagnosis.Methods:The ultrasonic features and clinical data of a patient with neurogenic pulmonary edema were retrospectively analyzed, and the imaging features, diagnosis and treatment experience of neurogenic pulmonary edema were summarized by combining with literature analysis.Results:The ultrasonic manifestation of neurogenic pulmonary edema was diffuse B-lines in the lungs, and etiological diagnosis needed to be further confirmed by combining with clinical data. Electrical impedance tomography for dynamically monitoring pulmonary ventilation may guide respiratory treatment.Conclusions:Neurogenic pulmonary edema is mostly secondary to craniocerebral injury, and the case-fatality rate is extremely high once it occurs. Early application of bedside point-of-care ultrasound for rapid assessment, comprehensive monitoring and precise treatment can significantly improve the prognosis of patients.
