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目的:对高原紧急情况下大批急进高原人群急性重症高原病的现场救治进行探讨。方法:对“4.14”玉树抗震救灾期间在结古镇救治的18例急性重症高原病(高原肺水肿、高原脑水肿)患者的高原现场治疗情况进行分析。结果:现场救治18例急性重症高原病患者(其中高原肺水肿17例、高原肺水肿合并脑水肿1例),治愈17例,现场治愈率94.44%,好转后送1例,好转率5.56%,无一例死亡。结论:高原紧急情况下大批急进高原人群因高原低压缺氧等引起的急性重症高原病,在高原现场救治的基础上,并积极地实施综合的救治措施,对有效地提高治愈率,降低死亡率具有重要的意义。
Objective: To investigate the on-site treatment of a large number of acute severe high altitude sickness in the plateau in emergency. Methods: The on-site treatment of 18 patients with acute severe altitude sickness (high altitude pulmonary edema, high altitude brain edema) treated in the “4.14 ” Yushu earthquake relief area in Jiegu town was analyzed. Results: A total of 18 patients with acute severe altitude sickness (including 17 cases of high altitude pulmonary edema and 1 case of high altitude pulmonary edema with cerebral edema) were treated on site, 17 cases were cured. The cure rate was 94.44% on site and 1 case was improved. The improvement rate was 5.56% No one died. Conclusion: A large number of acute plateau patients rapidly enter the plateau in an emergency due to plateau hypoxia and other high altitude sickness. Based on the on-site treatment of the plateau, comprehensive active treatment measures are taken to effectively improve the cure rate and reduce the mortality rate It is of great significance.