下降18小时后出现的高原肺水肿。

High-altitude pulmonary edema presenting 18 hours after descent.

作者信息

Strote Jared, Prutkin Jordan

机构信息

Division of Emergency Medicine, Department of Medicine, Box 356123, 1959 NE Pacific St., University of Washington Medical Center, Seattle, WA 98195, USA.

出版信息

Wilderness Environ Med. 2006 Summer;17(2):137-9. doi: 10.1580/pr35-05.1.

DOI:10.1580/pr35-05.1

PMID:16805151

Abstract

High-altitude pulmonary edema (HAPE) is a potentially life-threatening condition that is rapidly and definitively treated by descent. We report a case of worsening HAPE, presenting more than 18 hours after descent to sea level. The patient was treated with diuretics, calcium channel blockers, and oxygen and improved during a 24-hour observation period. To our knowledge, this is the first reported case of HAPE symptoms increasing after descent from altitude.

摘要

高原肺水肿（HAPE）是一种可能危及生命的疾病，通过下山可迅速得到明确治疗。我们报告一例高原肺水肿病情恶化的病例，该病例在下降至海平面18小时后出现症状。患者接受了利尿剂、钙通道阻滞剂和吸氧治疗，并在24小时观察期内病情好转。据我们所知，这是首例关于从高原下降后高原肺水肿症状加重的报道病例。