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[墨西哥城高海拔地区的急性肺水肿]

[Acute pulmonary edema at high altitude in Mexico City].

作者信息

Pérez Treviño C, Heller Rouassant S, Manuel del Peral J

出版信息

Bol Med Hosp Infant Mex. 1979 Sep-Oct;36(5):777-84.

PMID:465181
Abstract

For the first time in Mexico, two cases of acute pulmonary edema of high altitude are reported in a 6 year -old child and in a 16 year- old adolescent; both children lived in the city of Mexico. In identical circumstances, both developed progressive acute respiratory insufficiency on their return to Mexico City after several days at sea level. The final diagnosis was acute pulmonary edema of high altitude. In this paper, the producing mechanisms of this complication are discussed, together with the importance of making it known, in order to put on the lookout the medical personel, who work in the plateau, so that they may be conscious that this disturbance may occur at altitudes like that of Mexico City, (2480 meters above sea level) which is much lower than the altitude considered dangerous. (3000 meters). The most important facts of the clinical picture, together with the treatment recommended are pointed out.

摘要

在墨西哥首次报告了两例高原急性肺水肿病例,分别发生在一名6岁儿童和一名16岁青少年身上;这两名儿童都生活在墨西哥城。在相同情况下,两人在海平面停留数天后返回墨西哥城时均出现进行性急性呼吸功能不全。最终诊断为高原急性肺水肿。本文讨论了该并发症的发生机制以及宣传该疾病的重要性,以便让在高原地区工作的医务人员提高警惕,意识到这种疾病可能发生在像墨西哥城(海拔2480米)这样远低于被认为危险海拔(3000米)的地区。文中指出了临床表现的最重要特征以及推荐的治疗方法。

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