Fukushima M, Kobayashi T, Kubo K, Yoshimura K, Shibamoto T
Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Aviat Space Environ Med. 1988 Nov;59(11 Pt 1):1076-9.
A case of high altitude pulmonary edema with high altitude cerebral edema was reported. A young Japanese male complained of severe palpitation and shortness of breath on the third day of climbing at 3,000 m above sea level. During the next 2 d at altitude, the following symptoms occurred: cough with foamy sputum, cyanosis, and loss of consciousness. Soon after evacuation, he showed severe hypoxemia and deep coma with decerebrate rigidity; electroencephalogram showed diffuse alpha waves, indicating "alpha wave coma." Brain computerized tomography revealed brain edema, showing small compressed ventricles and diffuse low density of the cerebrum. Pulmonary edema on chest roentgenogram disappeared by the fifth hospital day, and his consciousness recovered gradually during the next 2 weeks after the admission. He was examined serially by electroencephalography and brain computerized tomography. He recovered fully, but there were transient psychological abnormalities soon after discharge and mild brain atrophy was observed by brain computerized tomography 6 years later.
报告了一例伴有高原脑水肿的高原肺水肿病例。一名年轻的日本男性在海拔3000米处登山的第三天出现严重心悸和呼吸急促。在接下来海拔停留的2天里，出现了以下症状：咳泡沫痰、发绀和意识丧失。撤离后不久，他出现严重低氧血症和深昏迷伴去大脑强直；脑电图显示弥漫性α波，提示“α波昏迷”。脑部计算机断层扫描显示脑水肿，脑室受压变小，大脑呈弥漫性低密度。胸部X线片上的肺水肿在入院第5天时消失，入院后接下来的2周内他的意识逐渐恢复。通过脑电图和脑部计算机断层扫描对他进行了连续检查。他完全康复，但出院后不久出现短暂的心理异常，6年后脑部计算机断层扫描观察到轻度脑萎缩。
