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湿啰音、心血管堵塞、肺通气一血流比例失调、呼吸困难、肺功能失常、肺门阴影增多、混合型酸碱平衡紊乱、咳嗽伴呼吸困难、端坐呼吸
Pulmonary edema is accumulation of fluid in alveoli/interstitium, either cardiogenic (heart failure/ischemia/valve disease) or noncardiogenic (ARDS/altitude/toxic neurogenic). Clinical: dyspnea, orthopnea, pink frothy sputum, crackles, hypoxemia, bilateral infiltrates. Treatment: oxygen; upright position; diuretics if cardiogenic; nitrates/afterload reduction; treat ischemia/arrhythmia; NIV/intubation if severe; treat noncardiogenic (ARDS ventilation/steroids for altitude/neurogenic); monitor.
Dyspnea/orthopnea; pink frothy sputum; crackles; hypoxemia; by cardiogenic/noncardiogenic
Elevated pulmonary-capillary pressure (cardiogenic) or increased permeability (noncardiogenic) causes alveolar fluid.
Oxygen; diuretics/nitrates if cardiogenic; NIV/intubation if severe; treat cause
Treat heart failure; avoid altitude exertion; manage fluid balance.
It is recommended to visit the Cardiology/Pulmonology-Emergency/ICU department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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