目的:青藏铁路格拉段旅客列车开通四年多,对快速进入高海拔地区的游客及进藏人员在列车上由于高原原因可能产生的急性轻症高原病(AMAD)进行分析。方法:将心理干预工作引入现行的旅客列车诊疗程序中,探索心理干预在预防急性轻症高原病中的应用。结果:疗效显著,在处理救治过程中加强和游客及进藏人员的思想沟通,做好高原病的防护、救护、救治上的健康宣教。结论:克服高原恐惧心理和一些不正确行为观念;提高医务人员的业务水平,增强责任心。取得他们对医护人员的信任及治疗疾病的信心,保障游客及进藏人员在列车上的身心健康。 Objective: The Passenger Train at Gela Section of Qinghai-Tibet Railway was opened for more than four years to analyze the possible acute mild mountain sickness (AMAD) that may occur in the train due to high altitude on the part of tourists and Tibetans entering the high altitude. Methods: The psychological intervention work into the current passenger train medical procedures, to explore the psychological intervention in the prevention of acute mild mountain sickness. Results: The curative effect was significant. During the treatment and treatment, the ideological communication with tourists and Tibetans was strengthened and the health education on the prevention, rescue and treatment of altitude sickness was done. Conclusion: Overcome the fear of plateau and some incorrect behavior concept; improve the medical staff’s professional level and enhance the sense of responsibility. Obtain their confidence in the trust of medical staff and the confidence in treating the disease and ensure the physical and mental health of tourists and Tibetans in the train.