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 1 986年 6月至 2 0 0 1年 4月收住的资料较为完整的高原肺水肿患者临床资料进行回顾性分析研究 ;结果 :海拔 40 0 0m以上者发病 1 78例 ,占 44.72 % ;以上呼吸道感染为诱因发病者 1 72例 ,占43 .2 2 % ;X线表现单侧肺病变以右肺为多 ;窦性心动过速为心电图异常主要类型 ,占62 .3 1 % ;合并高原脑水肿者死亡 9列 ,占死亡的 75% ,是导致死亡的重要因素 ;结论 :高原肺水肿海拔愈高 ,发病率愈高 ;上呼吸道感染可诱发高原肺水肿 ;合并高原脑水肿者 ,病死率明显增高 Objective: To investigate the clinical features of high altitude pulmonary edema, summarize the experience of diagnosis and treatment.Methods: The clinical data of patients with high altitude pulmonary edema who were admitted to our hospital from June 1986 to April 2001 with relatively complete data were retrospectively analyzed Results: There were 78 cases (44.72%) with altitude over 40 000m and 72 cases (43.22%) with upper respiratory tract infection as the inducing factor. Sinus tachycardia is the main type of ECG abnormalities, accounting for 62.31%; 9 patients with brain edema in the plateau, accounting for 75% of deaths, is an important factor leading to death; Conclusion: High altitude pulmonary edema, the higher the altitude, the incidence The higher the rate; upper respiratory tract infection can induce high altitude pulmonary edema; merger of high altitude brain edema, mortality was significantly higher