心源性肺水肿是左心衰竭发展到严重阶段的表现。临床特点为呼吸困难、喘憋、发绀、咯粉红色泡沫样痰,双肺可闻及细湿啰音,且随体位变化而变化;肺毛细血管楔压增高;胸部X线检查可见肺泡性肺水肿,两肺呈蝶翼状渗出性病变。治疗方法有减轻心脏前后负荷、强心、辅助通气等。 Cardiogenic pulmonary edema is a manifestation of the development of left-sided failure to a severe stage. Clinical features of dyspnea, wheezing, cyanosis, slightly pink foam-like sputum, lungs can be heard and fine wet rales, and changes with position changes; pulmonary capillary wedge pressure increased; chest X-ray examination showed alveolar pulmonary Edema, the two lungs were exudative wing-like lesions. Treatment to reduce the heart before and after the load, cardiac, assisted ventilation.