Carrillo ER, Sánchez GJR, Contreras CNA

Language: Spanish
References: 16
Page: 237-242
PDF size: 608.40 Kb.

ABSTRACT

Neurogenic pulmonary edema and myocardial dysfunction are originated by severe chranial-encephalic trauma. Its pathophysiology is complex and involves, among other mechanisms, massive release of catecholamines due to hypothalamic vasomotor center injury. Here we report the case of 21 years old male with chranial-encephalic trauma. Thorax X-ray shows pulmonary congestion, and echocardiogram systolic and diastolic dysfunction of left ventricle, pulmonary hypertension and 36% of outcome fraction. He was treated with mechanical ventilation, and alveolar and diuretic recruitment, that promotes meaningful improvement: increment of outcome fraction, decrease of pulmonary pressure and of infiltrates, and increment of oxygenation. Cardiopulmonary complications are frequent in patients with chranialencephalic trauma. Its pathophysiology knowledge will facilitate diagnosis and treatment to intensivist physician.

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