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高原病与航空旅行:儿科相关问题。

High-altitude Illnesses and Air Travel: Pediatric Considerations.

机构信息

Pediatric Pulmonology, Hospital Materno Infantil, Calle República Dominicana # 100, La Paz - Bolivia.

Pediatric Pulmonology, Hospital de la Banca Privada, Av. Héctor Ormachea # 21, La Paz - Bolivia.

出版信息

Pediatr Clin North Am. 2021 Feb;68(1):305-319. doi: 10.1016/j.pcl.2020.09.015.

Abstract

Healthy children may present acute mountain sickness (AMS) within a few hours after arrival at high altitudes. In few cases, serious complications may occur, including high-altitude pulmonary edema and rarely high-altitude cerebral edema. Those with preexisting conditions especially involving hypoxia and pulmonary hypertension shall not risk travelling to high altitudes. Newborn from low altitude mothers may have prolonged time to complete postnatal adaptation. The number of children and adolescents traveling on commercial aircrafts is growing, and this poses a need for their treating physicians to be aware of the potential risks of hypoxia while air traveling.

摘要

健康儿童在抵达高海拔地区后数小时内可能会出现急性高山病(AMS)。在极少数情况下,可能会出现严重并发症,包括高原肺水肿和罕见的高原脑水肿。那些有潜在疾病,特别是涉及缺氧和肺动脉高压的患者不应冒险前往高海拔地区。来自低海拔地区母亲的新生儿可能需要更长的时间来完成产后适应。乘坐商业航班旅行的儿童和青少年数量不断增加,这就需要他们的治疗医生在航空旅行时意识到缺氧的潜在风险。

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