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[急性高原病与高原脑型和肺型水肿]

[Acute mountain sickness and high altitude cerebral and pulmonary edema].

作者信息

Kedzierewicz Romain, Cabane Damien

机构信息

Antenne médicale des armées de Barby, 13e bataillon de chasseurs alpins, centre médical des armées des Alpes, 73230 Barby, France.

出版信息

Rev Prat. 2013 Jan;63(1):18-26.

Abstract

Altitude hypoxia is responsible for acute mountain sickness. It can worsen and generate a high altitude cerebral edema, which can be fatal. After reminding the reader clinical and epidemiological facts, this review aims to present new insights of the physiopathological continuity between these two illnesses and the current preventive and treatment tools. Have new medications, as sumatriptans, kept their promises? Have recent studies provide evidence of empirical use of old drugs as aspirin or ibuprofen? What are acetazolamide and dexamethasone places? This wide range of medication doesn't replace non-pharmacological tools.

摘要

高原缺氧是急性高原病的病因。它会恶化并引发高原脑水肿,这可能是致命的。在向读者介绍临床和流行病学事实之后,本综述旨在阐述这两种疾病在生理病理连续性方面的新见解以及当前的预防和治疗手段。新型药物,如舒马曲坦,是否依然有效?近期研究是否为阿司匹林或布洛芬等老药的经验性使用提供了证据?乙酰唑胺和地塞米松的作用如何?如此众多的药物并不能替代非药物手段。

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