An early presentation of neurogenic pulmonary edema in acute subarachnoid hemorrhage

IF 1 4区医学 Q3 EMERGENCY MEDICINE

Signa Vitae Pub Date : 2023-01-01 DOI:10.22514/sv.2023.101

引用次数: 0

Abstract

Subarachnoid hemorrhage (SAH) is a common occurrence among patients with altered mental status who arrive at the emergency department (ED), particularly for emergency physicians. However, the combination of neurogenic pulmonary edema (NPE) followed by SAH is generally considered a rare condition in the ED setting. Chest radiographs in these patients often reveal lung infiltrations, which are frequently misinterpreted by many emergency physicians as resulting from chest compression during cardiopulmonary resuscitation or aspiration due to altered mental status. This case report highlights a patient with SAH who developed NPE, with the aim to raise awareness among emergency department physicians about NPE and provide comprehensive insights regarding its management, as well as clinical, prognostic and diagnostic information.

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急性蛛网膜下腔出血中神经源性肺水肿的早期表现

蛛网膜下腔出血(SAH)在急诊科(ED)的精神状态改变的患者中很常见，特别是急诊医生。然而，神经源性肺水肿(NPE)合并SAH通常被认为是ED中罕见的情况。这些患者的胸片经常显示肺部浸润，这经常被许多急诊医生误解为心肺复苏期间胸部压迫或因精神状态改变而误吸所致。本病例报告重点介绍了一位SAH患者发展为NPE，旨在提高急诊科医生对NPE的认识，并提供有关其管理以及临床、预后和诊断信息的全面见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Signa Vitae 医学-急救医学

CiteScore

1.30

自引率

9.10%

发文量

审稿时长

3 months

期刊介绍： Signa Vitae is a completely open-access，peer-reviewed journal dedicate to deliver the leading edge research in anaesthesia, intensive care and emergency medicine to publics. The journal’s intention is to be practice-oriented, so we focus on the clinical practice and fundamental understanding of adult, pediatric and neonatal intensive care, as well as anesthesia and emergency medicine. Although Signa Vitae is primarily a clinical journal, we welcome submissions of basic science papers if the authors can demonstrate their clinical relevance. The Signa Vitae journal encourages scientists and academicians all around the world to share their original writings in the form of original research, review, mini-review, systematic review, short communication, case report, letter to the editor, commentary, rapid report, news and views, as well as meeting report. Full texts of all published articles, can be downloaded for free from our web site.