Kao Wei-Fong, Kuo Chien-Chun, Hsu Teh-Fu, Chang Hsing, Sung Ying-Ying, Yen David H T, Wu Jer-Kan, Lee Chen-Hsen
Department of Emergency Medicine, Veterans General Hospital-Taipei, Taiwan, Republic of China.
Aviat Space Environ Med. 2002 Apr;73(4):359-62.
Although there are more than 200 peaks higher than 3000 m in the Taiwan Alps, no data on the incidence of acute mountain sickness (AMS) are available. This study investigated the incidence of AMS in Jade Mountain climbers.
The study was performed at the entrance of Jade Mountain, the highest peak (3952 m) in Taiwan. A standardized form was used to collect information. All the recorders had previously been trained in the management of high altitude illness. The Lake Louise consensus was used for the diagnosis of AMS.
There were 93 trekkers (18 females and 71 males) who were surveyed. Four records with incomplete data were excluded, leaving 89 records for analysis. The ages ranged from 20-68 yr, with an average age of 41.1 +/- 11.2 SD. All subjects had a home residence below 1 km. The most common high altitude symptoms were headaches. Some 25 trekkers (28%) [corrected] met the diagnoses of AMS. The most common site of the AMS cases feeling their worst symptoms was in the midway overnight hut, and not on the summit. The lower the O2 saturation recorded at the entrance (2659 m) of Jade Mountain, the higher the score of the Lake Louise Acute Mountain Sickness Score (LLAMSS).
Acute mountain sickness is a common problem in Taiwan summit climbers. In our study, 28% [corrected] of the Jade Mountain trekkers met the diagnosis of AMS; however, the incidence of AMS was lower than that of other studies at similar altitudes.
台湾玉山山脉海拔超过3000米的山峰有200多座，但尚无急性高山病（AMS）发病率的数据。本研究调查了玉山登山者中急性高山病的发病率。
本研究在台湾最高峰玉山（海拔3952米）的入口处进行。使用标准化表格收集信息。所有记录员此前均接受过高海拔疾病管理方面的培训。采用路易斯湖共识标准诊断急性高山病。
共调查了93名徒步旅行者（18名女性和71名男性）。排除4份数据不完整的记录，剩余89份记录用于分析。年龄范围为20 - 68岁，平均年龄为41.1±11.2标准差。所有受试者的家乡海拔均低于1千米。最常见的高海拔症状是头痛。约25名徒步旅行者（28%）[校正后]符合急性高山病的诊断标准。急性高山病患者感觉症状最严重的最常见地点是中途的过夜小屋，而非山顶。玉山入口处（海拔2659米）记录的氧饱和度越低，路易斯湖急性高山病评分（LLAMSS）越高。
急性高山病是台湾登山者中的常见问题。在我们的研究中，28%[校正后]的玉山徒步旅行者符合急性高山病的诊断标准；然而，急性高山病的发病率低于其他类似海拔高度的研究。
