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目的:通过总结玉树地震中发生急性高原病的治疗体会,提醒大家重视急性高原病,了解急性高原病的临床特点。方法:对我院在4月14日玉树发生地震后收治的抗震救灾人员中急性高原病患者的临床治疗总结并分析。结果:收住的26例急性高原病患者:8例为急性肺水肿;3例急性肺水肿合并脑水肿;1例为短期内再返高原再次发生急性肺水肿;其余患者均为不同程度的急性高原反应(急性轻症高原病)。经积极抢救治疗均痊愈出院,进一步转往低海拔地区。结论:急性高原病应早诊断、早治疗,在高海拔地区早期有效的氧疗作为治疗基础,并给予一般对症后积极转往低海拔地区,及时救治预后良好。
Objective: To summarize the experience of acute altitude sickness in Yushu earthquake, and to remind everyone to pay attention to acute altitude sickness and understand the clinical features of acute altitude sickness. Methods: To summarize and analyze the clinical treatment of acute altitude sickness in earthquake relief workers admitted to our hospital on April 14 after the earthquake in Yushu. Results: Twenty-six cases of acute altitude sickness were admitted: 8 cases were acute pulmonary edema; 3 cases were acute pulmonary edema with cerebral edema; 1 case was acute pulmonary edema again in short term and then returned to plateau; High altitude reaction (acute mild high altitude sickness). After active rescue treatment were discharged, further transfer to lower altitude areas. Conclusion: Acute altitude sickness should be diagnosed and treated as soon as possible, and early effective oxygen therapy should be taken as the treatment basis in high altitude areas. Positive symptomatic patients should be actively transferred to lower altitude areas for prompt treatment and good prognosis.