الفهرس | Only 14 pages are availabe for public view |
Abstract Pulmonary oedema is differentiated into 2 categories: cardiogenic and noncardiogenic. In cardiogenic pulmonary oedema, a high pulmonary capillary pressure (as estimated clinically from the pulmonary artery wedge pressure) is responsible for the abnormal fluid movement. In contrast, noncardiogenic pulmonary oedema is caused by various disorders in which factors other than elevated pulmonary capillary pressure are responsible for protein and fluid accumulation in the alveoli. The distinction between cardiogenic and noncardiogenic causes is not always possible, since the clinical syndrome may represent a combination of several different disorders. Many causes of NPE exist, including drowning, acute glomerulonephritis, fluid overload, aspiration, inhalation injury, neurogenic pulmonary oedema, allergic reaction, adult respiratory distress syndrome. The diagnosis is important, however, because treatment varies considerably depending upon the underlying pathophysiologic mechanisms. The correct diagnosis relies on clinical and radiologic findings, despite some overlap in the clinical and imaging findings between the different causes. |