Post-ictal Neurogenic Pulmonary Edema-A Case Report

癲癇後的神經性肺水腫－病例報告

劉冠霆(Kuan-Ting Liu) ； 蘇鉉宗(Hsuan-Tsung Su) ； 邱昭華(Chao-Hua Chiu) ； 彭瑞鵬(Reury-Perng Perng)

《胸腔醫學》 21卷5期 (2006/10) Pp. 439-443

https://doi.org/10.29806/TM.200610.0006

摘要

神經性肺水腫是一種中樞神經傷害後少見且不易診斷的肺部併發症。存活者的預後很好；只要神經傷害獲得控制，肺水腫通常在72小時內復原。我們報告一個在癲癇發作後，無任何呼吸道症狀但影像學卻意外發現神經性肺水腫的病例。病人未經任何治療而在96小時內自行復原。因此，在中樞神經傷害後，若病人產生雙側肺浸潤變化，應將神經性肺水腫列為鑑別診斷之一。嚴重的神經性肺水腫病人要給予積極的呼吸支持；然而，大部分的病人只要給予支持性治療即可，肺部浸潤性變化通常會自行復原。

關鍵字

神經性肺水腫 ； 癲癇

並列摘要

Neurogenic pulmonary edema (NPE) is a rare or easily underdiagnosed pulmonary complication that occurs after central nervous system damage. The prognosis of survivors is good, and they usually recover rapidly if neurological insult is controlled. We report a case of NPE that developed after a seizure attack. The patient had no respiratory symptoms at presentation, but the NPE was found incidentally by radiographic study, and the patient recovered spontaneously within 96 hours. NPE should be on the list of differential diagnoses in patients with bilateral alveolar infiltration after a neurological event. Aggressive respiratory support is indicated for severe cases; however, general supportive care is adequate for most patients, and the radiographic infiltration usually resolves rapidly and spontaneously.

並列關鍵字

neurogenic pulmonary edema ； seizure