成人亚急性高山病——一种发生在极高海拔地区人群中的充血性心力衰竭综合征。
Adult subacute mountain sickness--a syndrome of congestive heart failure in man at very high altitude.
作者信息
Anand I S, Malhotra R M, Chandrashekhar Y, Bali H K, Chauhan S S, Jindal S K, Bhandari R K, Wahi P L
机构信息
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Lancet. 1990 Mar 10;335(8689):561-5. doi: 10.1016/0140-6736(90)90348-9.
A new type of mountain sickness is described. 21 men (age 22.2, standard deviation [SD] 1.8 years) had severe congestive heart failure with oedema and ascites after 10.8 (SD 5.9) weeks at altitudes of 5800-6700 m. Investigation, within 3 days of transfer to 300 m, showed polycythaemia, cardiomegaly with right ventricular enlargement, and (in 17) pericardial effusion. The heart failure resolved rapidly after transfer from high altitude.
本文描述了一种新型高原病。21名男性（年龄22.2岁，标准差[SD]1.8岁）在海拔5800 - 6700米处停留10.8周（SD 5.9周）后出现严重充血性心力衰竭，并伴有水肿和腹水。转至海拔300米处3天内进行的检查显示，存在红细胞增多症、心脏扩大伴右心室增大，以及17例伴有心包积液。从高海拔地区转移后，心力衰竭迅速缓解。
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