目的 :分析近 3年来我院高原肺水肿治疗中的常见并发症 ,为临床攻克此高原顽疾提供有力的参考依据。方法 :分析近 3年来我院收住的 4 32例 (全部为汉族 )高原肺水肿患者住院资料 ,按照进藏方式、治疗方法进行分类 ,采用统计学分析后得出结论。结果 :乘飞机进藏的患者并发症发生率明显低于乘汽车进藏的患者 (P <0 .0 1) ,常见的并发症以水电解质紊乱和肺部感染为主 ;治疗方法中以联合治疗出现的并发症明显少于单一方法治疗 (P <0 .0 1) ,联合治疗中出现的并发症以水电解质紊乱为主 ,单一方法治疗中出现的并发症以水电解质紊乱和肺部感染为主。结论 :乘飞机进藏后的高原肺水肿的并发症较少并容易得到纠正 ,治疗时采取联合治疗可以有效防止出现并发症 ,在临床治疗中应该采取全面均衡的治疗方案 Objective: To analyze the common complications in the treatment of altitude pulmonary edema in the past three years in order to provide a powerful reference for the clinical treatment of this altitude sickness. Methods: The hospitalization data of 432 patients (all Han nationality) with pulmonary edema admitted in our hospital in the recent 3 years were analyzed. According to the way of entering Tibet and the treatment methods, the data were analyzed and the conclusion was reached after statistical analysis. Results: The incidence of complication in patients who took flight to Tibet was significantly lower than that in patients who took cars by car (P <0.01). The common complication was water-electrolyte disturbance and pulmonary infection. Complications were significantly less than the single treatment (P <0.01), the complications occurred in the combined treatment of water and electrolyte disorders, the complications occurred in a single treatment of water and electrolyte disorders and pulmonary infection Mainly. Conclusion: The complications of high altitude pulmonary edema after flying into Tibet are few and can be easily corrected. The combination therapy during treatment can effectively prevent the occurrence of complications. In the clinical treatment, a comprehensive and balanced treatment plan should be adopted