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一名矿工发生高原肺水肿,其肺动脉压力对急性缺氧反应异常升高,既往无高原肺水肿病史。

High Altitude Pulmonary Edema in a Mining Worker With an Abnormal Rise in Pulmonary Artery Pressure in Response to Acute Hypoxia Without Prior History of High Altitude Pulmonary Edema.

作者信息

Akunov Almaz Ch, Sartmyrzaeva Meerim A, Maripov Abdirashit M, Muratali Uulu Kubatbek, Mamazhakypov Argen T, Sydykov Akylbek S, Sarybaev Akpay Sh

机构信息

Department of Mountain and Sleep Medicine and Pulmonary Hypertension, National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan (Drs. Akunov, Sartmyrzaeva, Maripov, Muratali uulu, Mamazhakypov, Sydykov, and Sarybaev); Kyrgyz-Indian Mountain Biomedical Research Center, Bishkek, Kyrgyzstan (Drs Akunov, Sartmyrzaeva, Maripov, Muratali uulu, and Sarybaev).

Department of Mountain and Sleep Medicine and Pulmonary Hypertension, National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan (Drs. Akunov, Sartmyrzaeva, Maripov, Muratali uulu, Mamazhakypov, Sydykov, and Sarybaev); Department of Internal Medicine, University of Giessen and Marburg Lung Center (UGMLC), Justus Liebig University of Giessen, Giessen, Germany (Drs Mamazhakypov and Sydykov).

出版信息

Wilderness Environ Med. 2017 Sep;28(3):234-238. doi: 10.1016/j.wem.2017.04.003. Epub 2017 Jun 30.

Abstract

High altitude pulmonary edema (HAPE) is a potentially life-threatening form of noncardiogenic pulmonary edema that may develop in otherwise healthy individuals upon ascent to high altitude. A constitutional susceptibility has been noted in some individuals, whereas others appear not to be susceptible at all. In our report, we present a case of HAPE triggered by concurrent respiratory tract infection and strenuous exercise in a mining worker with an abnormal rise in pulmonary artery pressure in response to acute hypoxia, without a prior history of HAPE during almost a year of commuting between high altitude and lowland areas.

摘要

高原肺水肿(HAPE)是一种潜在的危及生命的非心源性肺水肿形式,在原本健康的个体登高至高原时可能会发生。已注意到一些个体存在体质易感性,而其他个体似乎完全不易感。在我们的报告中,我们呈现了一例高原肺水肿病例,该病例由一名矿工同时发生的呼吸道感染和剧烈运动引发,其肺动脉压力在急性缺氧时异常升高,在近一年在高原和低地之间通勤期间此前并无高原肺水肿病史。

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