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目的:总结进藏列车急性高原病现场治疗的体会。方法:79例急性高原病来自2010年3月—2010年10月我们随车格—拉段48趟进藏列车旅客,79例患者通过持续吸氧、给予安乃近片、复方丹参滴丸、50%葡萄糖注射液、胃复安片、氨茶碱、甘露醇、速尿、地塞米松、能量合剂等治疗。结果:79例均治愈(其中高原肺水肿2人、高原脑水肿1人,在列车上病情稳定后转至我院内科治疗,亦治愈),治愈率100%。结论:急性高原病虽然起病急、病情复杂、发展变化快,但只能加强现场治疗,并且在综合救治的同时,重视重要脏器的保护,对提高其治愈率、降低死亡率具有积极的意义。
Objective: To summarize the experiences of on-site treatment of acute altitude sickness in Tibet train. Methods: 79 cases of acute altitude sickness came from March 2010 to October 2010. We traveled to Tibet with train-pull-train for 48 times. 79 patients were given metamizumab, compound Danshen dripping pills, 50% glucose injection, metoclopramide, aminophylline, mannitol, furosemide, dexamethasone, energy mixture and other treatment. Results: 79 cases were cured (including 2 cases of high altitude pulmonary edema, high altitude brain edema 1, after the train was stable to our hospital medical treatment, also cured), the cure rate was 100%. Conclusion: Acute mountain sickness has acute onset, complex disease and rapid development but can only strengthen on-site treatment. In the meanwhile, it emphasizes the protection of important organs and improves the cure rate and reduce the mortality rate significance.