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目的 :寻找现场有效救治高原肺水肿的方法和措施 ;方法 :采用系统回顾性方法 ,分析我院自 1 956年— 2 0 0 2年收治的高原肺水肿住院病例 ;结果 :氨茶碱组、速尿组、硝苯吡啶组、酚妥拉明组、654 -2组、高压氧组及NO组患者症状、体征、X线平片肺部阴影消失时间与基础治疗组比较 ,差异有显著性 ;地塞米松组同基础治疗组相比无统计学意义 ;各治疗组相比 ,氨茶碱组、NO组及速尿组的临床疗效明显优于其它治疗组 ;结论 :综合比较各种药物、措施 ,现场救治HAPE临床疗效的优劣依次为 :氨茶碱、NO、速尿、硝苯吡啶、酚妥拉明、高压氧等。
OBJECTIVE: To find out the effective methods and measures for the treatment of high altitude pulmonary edema in the field.Methods: To analyze the hospitalized cases of high altitude pulmonary edema treated in our hospital from 1956 to 2002 by retrospective systematic method.Results: In the aminophylline group, The symptoms, signs, disappearance time of lung shadow on radiographs of nifedipine, nifedipine, phentolamine, 654-2 group, hyperbaric oxygen group and NO group were significantly different from those of basic treatment group ; Dexamethasone group compared with the basic treatment group was not statistically significant; each treatment group, the clinical efficacy of aminophylline group, NO group and furosemide group was significantly better than other treatment groups; Conclusion: Comprehensive comparison of various drugs Measures, on-site treatment of HAPE clinical efficacy of the pros and cons are: aminophylline, NO, furosemide, nifedipine, phentolamine, hyperbaric oxygen.