Rolan Terry
Department of Neurology, University of Missouri, Columbia.
Neurol Clin Pract. 2015 Apr;5(2):102-107. doi: 10.1212/CPJ.0000000000000100.
Problems at altitude are most often thought of in trained athletes summiting extremes of elevation. A more common group that needs consideration is the average person with obstructive sleep apnea who must travel to high altitudes for business or pleasure. While the altitudes involved are not likely to be as extreme as for those athletes climbing peaks like Mt. Everest, the increases in elevation may present difficulties for patients, especially if overnight stay is expected. The pathophysiology of altitude-related CNS, respiratory, and sleep disorders is discussed along with treatment options.
人们通常认为海拔高度相关问题多见于攀登极端海拔高度的训练有素的运动员。另一个需要考虑的更常见群体是患有阻塞性睡眠呼吸暂停的普通人,他们因商务或娱乐目的必须前往高海拔地区。虽然他们所到达的海拔高度不太可能像攀登珠穆朗玛峰等山峰的运动员那么极端,但海拔升高仍可能给患者带来困难,尤其是如果预计要过夜停留的话。本文将讨论海拔高度相关的中枢神经系统、呼吸系统和睡眠障碍的病理生理学以及治疗选择。