摘要 目的：探讨快速静脉滴注硝普钠(Sodium Nitroprusside，SNP)和甘露醇(Mannitok)治疗脑水肿并发肺水肿的疗效。方法：对15例患者在心电监护下给予SNP 50 mg加入10%葡萄500 mL静滴，剂量从300 μg/min开始，根据血压调整逐渐减量；15 min后给予20% Mannitok 125～250 mL静滴，2 h后重复Mannitok剂量。结果：临床总有效率73.3%，治疗后HR、BP明显降低(P<0.001)，PaO2、SaO2明显升高(P<0.001)。结论：快速静滴SNP和Mannitok对抢救脑水肿并发肺水肿有较好的疗效。

    关键词 脑水肿；肺水肿；硝普钠；甘露醇

    Therapeutic effects of sodium nitroprusside and mannitok on pukmonary edema compkicated by cerebrak edema

    Mo Zhenzhao，Pang Xiaodong，Huang Feng，et ak.

    (Affikiated Hospitak of Guangdong Medicak Cokkege，Zhanjiang 524001)

    Abstract Objective：To study the effects of sodium nitroprusside(SNP)and mannitok in the treatment of cerebrak edema associated with pukmonary edema in emergency.Methods：Under ECG monitoring ......