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Neurogenic-stunned Myocardium and Pulmonary Edema Following a Ruptured Cerebral Aneurysm: A Case Report

机译:破裂性脑动脉瘤后神经源性心肌和肺水肿:病例报告。

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We report a case of neurogenic cardiopulmonary instability with pulmonary edema occurring after an aneurysmal subarachnoid hemorrhage. The patient's pre-operative Glasgow coma scale score was 6 and the PA chest radiograph showed increased diffuse haziness in the right lung field. The patient presented with severe hypotension and low oxygen saturation during surgery. Cardiac damage was documented by increased CK-MB troponin-T levels, and ischemic ECG findings. Reversible cardiac failure associated with subarachnoid hemorrhage may be due to a neurogenic-stunned myocardium. The patient underwent clipping of the aneurysm and recovered with minimal neurologic impairment and normal cardiac function.
机译:我们报告一例动脉瘤性蛛网膜下腔出血后发生神经源性心肺不稳定性并伴有肺水肿。患者的术前格拉斯哥昏迷评分为6分,PA胸片显示右肺野弥漫性雾霾增加。该患者在手术过程中出现严重的低血压和低氧饱和度。 CK-MB肌钙蛋白-T水平升高和缺血性ECG表现为心脏损害。与蛛网膜下腔出血相关的可逆性心力衰竭可能归因于神经源性心肌。该患者接受了动脉瘤的夹闭,并以最小的神经系统损害和正常的心脏功能康复。

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