Naeije R, Mélot C
Laboratory of Cardiovascular and Respiratory Physiology, Erasmus University Hospital, Brussels, Belgium.
Br Heart J. 1990 Dec;64(6):400-2. doi: 10.1136/hrt.64.6.400.
A 40 year old man had an episode of severe pulmonary oedema at 4000-5000 m during the ascent of the Margherita peak (5109 m) of Mount Stanley on the Ruwenzori. He had taken acetazolamide and high dose dexamethasone to treat symptoms of acute mountain sickness. Six years before he had been studied by right heart catheterisation as a healthy volunteer during hypoxic breathing at sea level. His pulmonary vascular reactivity had been within the normal range for 32 healthy subjects. This man had high altitude pulmonary oedema despite currently recommended treatments for acute mountain sickness and normal pulmonary vascular reactivity to hypoxia at sea level.
一名40岁男子在攀登鲁文佐里山脉斯坦利山玛格丽塔峰（海拔5109米）过程中，于4000 - 5000米处出现严重肺水肿。他曾服用乙酰唑胺和高剂量地塞米松来治疗急性高原病症状。六年前，他作为健康志愿者在海平面进行低氧呼吸时接受了右心导管检查。他的肺血管反应性在32名健康受试者的正常范围内。尽管目前有针对急性高原病的推荐治疗方法，且他在海平面时对低氧的肺血管反应性正常，但该男子仍患上了高原肺水肿。
