高原肺水肿——喜马拉雅山东部地区的经验
HIGH ALTITUDE PULMONARY OEDEMA - AN EXPERIENCE IN EASTERN HIMALAYA.
作者信息
Virmani S K
机构信息
Classified Specialist (Medicine), Military Hospital Dehradun 248003.
出版信息
Med J Armed Forces India. 1997 Jul;53(3):163-168. doi: 10.1016/S0377-1237(17)30708-6. Epub 2017 Jun 26.
Three hundred and five cases of high altitude pulmonary oedema (HAPO) hospitalised in eastern Himalayan region have been analyzed. Incidence of HAPO was 5.5 per cent. Eighty per cent cases occurred during latter half of the year. Fifty six per cent of cases belonged to the third decade of life. HAPO cases occurred most commonly between the height of 2740 m to 5960 m. Eighty three per cent cases developed symptoms within 72 hours of induction to high altitude and 65.9 per cent suffered from the illness despite complete acclimatization. Breathlessness, headache and cough were the commonest symptoms. Tachycardia and tachypnoea was present in all cases. Twenty five per cent cases showed various ECG abnormalities. Mortality rate was 0.98 per cent.
对喜马拉雅东部地区收治的305例高原肺水肿（HAPO）病例进行了分析。HAPO的发病率为5.5%。80%的病例发生在下半年。56%的病例为30岁年龄段。HAPO病例最常发生在海拔2740米至5960米之间。83%的病例在进入高原72小时内出现症状，65.9%的病例尽管已完全适应环境仍患病。呼吸急促、头痛和咳嗽是最常见的症状。所有病例均有心动过速和呼吸急促。25%的病例出现各种心电图异常。死亡率为0.98%。
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