1 Himalayan Rescue Association , Kathmandu, Nepal .
High Alt Med Biol. 2013 Dec;14(4):405-7. doi: 10.1089/ham.2013.1059.
Altitude related illness occurs in unacclimatized individuals ascending to altitudes over 2500 m. Treatment usually involves descending to lower altitudes and pharmacological therapies. There are very few cases, studies, or recommendations regarding the use of positive pressure ventilation in acute mountain sickness (AMS) or high altitude pulmonary edema (HAPE). This case describes the use of CPAP as part of the treatment of a trekker diagnosed with AMS and HAPE in a remote location at 4200 m in Nepal.
海拔相关疾病发生于未适应高海拔环境者,海拔 2500 米以上时容易发病。治疗方法通常包括下降至低海拔地区以及药物治疗。对于急性高原病(AMS)或高原肺水肿(HAPE)患者,采用正压通气治疗的案例、研究或建议非常少。本病例介绍了在尼泊尔海拔 4200 米的偏远地区,对一位徒步旅行者 AMS 和 HAPE 的诊断及治疗中,CPAP 的使用。