Guo Y M
Fourth Hospital of people's Liberation Armg.
Zhonghua Wai Ke Za Zhi. 1990 Jun;28(6):335-8, 381.
Twenty-seven adult patients, living at plateau, developed acute respiratory syndrome after severe trauma or major operation, were reported. Seven of them died. The clinical pictures were also of severe air-hunger, cyanosis and hypoxemia associated with diffusive interstitial edema of lungs, while the mean values of blood gases were much less compared with those of patients on plain, being P-a O2 33 mm Hg, Sat. O2 71%, PaCO2 31 mmHg, A-aDO2 426 mm Hg. The diagnostic points of ARDS of patient on plateau have been suggested and the urgent requirement of management for these patients on plateau has been emphasized and described.
据报道，27名生活在高原地区的成年患者在遭受严重创伤或接受大手术后出现了急性呼吸综合征。其中7人死亡。临床症状还表现为严重的气促、发绀和低氧血症，并伴有肺部弥漫性间质性水肿，而血气平均值与平原地区患者相比要低得多，动脉血氧分压（P-a O2）为33毫米汞柱，血氧饱和度（Sat. O2）为71%，动脉血二氧化碳分压（PaCO2）为31毫米汞柱，肺泡-动脉血氧分压差（A-aDO2）为426毫米汞柱。文中提出了高原地区患者急性呼吸窘迫综合征（ARDS）的诊断要点，并强调和描述了对这些高原地区患者进行紧急治疗的必要性。
