Zhang Shi-fan, Luo Xiao-hong
Department of Thoraciccardiovascular Surgery, Lanzhou General Hospital, Lanzhou Command, PLA, Lanzhou 730050, China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2007 Aug;29(4):551-6.
Critical care medicine (CCM) is one of the challenging issue in clinical practice. The key issues of CCM include acute lung injury, acute respiratory distress syndrome, and multiple organ dysfunction syndrome (MODS), generally termed as systemic inflammatory response syndrome (SIRS). When SIRS occurs at high altitude areas (H-SIRS), it will need be distinguished with an idiopathic acute high altitude sickness (generally termed as acute high altitude reaction syndrome), that make the differential diagnosis and treatment of H-SIRS even more difficult. It has became a high priority to properly address the relevant issues in this field: construction of disciplines; identification of speciality scopes; standardization of the diagnosis and treatment of CCM; and decreasing of the mortality of MODS at high altitude.
重症医学是临床实践中具有挑战性的问题之一。重症医学的关键问题包括急性肺损伤、急性呼吸窘迫综合征和多器官功能障碍综合征（MODS），通常被称为全身炎症反应综合征（SIRS）。当SIRS发生在高海拔地区（H-SIRS）时，需要与特发性急性高原病（通常称为急性高原反应综合征）相鉴别，这使得H-SIRS的鉴别诊断和治疗更加困难。妥善解决该领域的相关问题已成为当务之急：学科建设；明确专业范围；规范重症医学的诊断和治疗；降低高海拔地区MODS的死亡率。
