Wei Qin, Yu Tan Chun, Hua Mi Xu, Xue Hu Zhang, Zi Li, Ping Fu
Division of Nephrology, Department of Medicine, Sichuan University, West China Hospital, Chengdu, China.
Ren Fail. 2009;31(2):175-7. doi: 10.1080/08860220802598256.
Acute mountain sickness (AMS) is usually seen in unacclimatized individuals ascending to a high altitude within a short period of time. Severe cases may be complicated with multiorgan dysfunction syndrome (MODS), which results in very high mortality. We reported a case of a 20-year-old girl who developed AMS complicated with high altitude pulmonary edema (HAPE), high altitude cerebral edema (HACE), and acute renal failure. Continuous renal replacement therapy (CRRT) was successfully carried out in this patient and achieved satisfactory effects. The treatment of this patient suggests that early intervention of CRRT may be a useful therapy for patient with severe AMS, especially those with MODS.
急性高原病（AMS）通常见于未适应环境的个体在短时间内攀升至高海拔地区。严重病例可能并发多器官功能障碍综合征（MODS），这会导致极高的死亡率。我们报告了一例20岁女孩的病例，她患上了急性高原病并并发高原肺水肿（HAPE）、高原脑水肿（HACE）和急性肾衰竭。该患者成功接受了连续性肾脏替代治疗（CRRT）并取得了满意的效果。对该患者的治疗表明，CRRT的早期干预可能是治疗重症急性高原病患者，尤其是那些患有MODS患者的有效疗法。
