Pandey Prativa, Lohani Benu, Murphy Holly
1 CIWEC Hospital , Kathmandu, Nepal .
2 Tribhuvan University Teaching Hospital , Kathmandu, Nepal .
High Alt Med Biol. 2016 Dec;17(4):353-358. doi: 10.1089/ham.2016.0008. Epub 2016 Oct 21.
Pandey, Prativa, Benu Lohani, and Holly Murphy. Pulmonary embolism masquerading as high altitude pulmonary edema at high altitude. High Alt Med Biol. 17:353-358, 2016.-Pulmonary embolism (PE) at high altitude is a rare entity that can masquerade as or occur in conjunction with high altitude pulmonary edema (HAPE) and can complicate the diagnosis and management. When HAPE cases do not improve rapidly with descent, other diagnoses, including PE, ought to be considered. From 2013 to 2015, we identified eight cases of PE among 303 patients with initial diagnosis of HAPE. Upon further evaluation, five had deep vein thrombosis (DVT). One woman had a contraceptive ring and seven patients had no known thrombotic risks. PE can coexist with or mimic HAPE and should be considered in patients presenting with shortness of breath from high altitude regardless of thrombotic risk.
潘迪、普拉蒂瓦、贝努·洛哈尼和霍利·墨菲。高原地区伪装成高原肺水肿的肺栓塞。《高原医学与生物学》。2016年；17:353 - 358。——高原地区的肺栓塞（PE）是一种罕见的病症，它可能伪装成高原肺水肿（HAPE）或与HAPE同时发生，从而使诊断和治疗变得复杂。当HAPE患者下山后病情没有迅速改善时，应该考虑包括PE在内的其他诊断。在2013年至2015年期间，我们在303例最初诊断为HAPE的患者中发现了8例PE。经过进一步评估，其中5例有深静脉血栓形成（DVT）。1名女性有避孕环，7名患者无已知的血栓形成风险。PE可与HAPE共存或模仿HAPE，对于来自高原地区出现呼吸急促的患者，无论其血栓形成风险如何，都应考虑PE。
