高原紧急情况下对大批急进高原人群急性重症高原病的现场救治

目的：对高原紧急情况下大批急进高原人群急性重症高原病的现场救治进行探讨。方法：对＂4.14＂玉树抗震救灾期间在结古镇救治的18例急性重症高原病（高原肺水肿、高原脑水肿）患者的高原现场治疗情况进行分析。结果：现场救治18例急性重症高原病患者（其中高原肺水肿17例、高原肺水肿合并脑水肿1例）,治愈17例,现场治愈率94.44%,好转后送1例,好转率5.56%,无一例死亡。结论：高原紧急情况下大批急进高原人群因高原低压缺氧等引起的急性重症高原病,在高原现场救治的基础上,并积极地实施综合的救治措施,对有效地提高治愈率,降低死亡率具有重要的意义。

On-Site Treatment of Large Crowds of Severe Acute Mountain Sickness with Acute Exposure to High Altitude Environment

Objectives：To explore the measurement of on-site first aid of severe acute altitude illness in large crowds under acute exposure to high altitude environment.Methods：18 patients who suffered from severe acute altitude illness,including high altitude pulmonary edema （17 cases） and cerebral edema （1 case）,between 4 and 48 hours after arrival the Yushu earthquake area were treated at on-site,and the assessment of measurement and efficacy of treatment were conducted.Results：17 of 18 patients with severe acute altitude illness were cured （17 vs 18,94.44%）; 1 patient was transferred after improvement of patient＇s condition,all patients survived. Conclusions： The general treatment associated with emergency treatment plays an important role on the severe acute high altitude disease caused by acute high altitude hypoxia,and can elevate the cure rate of high altitude disease,lowering death,at on-site in large crowds of acute exposure to high altitude environment.