论文部分内容阅读
目的:探讨高原肺水肿的临床特点,总结其诊治经验。方法:对我院2004年1月—2008年10月收治的86例高原肺水肿(HAPE)患者临床资料进行分析研究。结果:快速进入高海拔地区、上呼吸道感染、寒冷为HAPE的好发因素。HAPE起病急,病情进展迅速,血常规白细胞明显升高,心肌酶各项指标明显升高,心电图上表现以窦性心动过速、右室电压增高、顺钟向转位为主,而心动超声图亦有左室射血分数、肺动脉压升高等表现。HAPE综合治疗总有效率达到94.19%。结论:高原肺水肿应早诊断、早治疗,早期有效的以氧疗为基础的综合治疗是关键。
Objective: To investigate the clinical features of high altitude pulmonary edema and summarize the experience of diagnosis and treatment. Methods: The clinical data of 86 HAPE patients admitted to our hospital from January 2004 to October 2008 were analyzed. Results: Rapid access to high altitude areas, upper respiratory tract infection, cold HAPE factors. HAPE acute onset, the rapid progress of the disease, blood leukocytes significantly increased, myocardial enzymes significantly increased the indicators on the performance of ECG sinus tachycardia, right ventricular voltage increases, cis to translocation-based, and heartbeat Ultrasonography also has left ventricular ejection fraction, pulmonary hypertension and other performance. The total effective rate of HAPE comprehensive treatment reached 94.19%. Conclusion: High altitude pulmonary edema should be early diagnosis and early treatment, early and effective oxygen therapy-based comprehensive treatment is the key.