| 2 016例高原肺水肿现场救治体会 |
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| 引用本文： | 牟信兵,李素芝,陈有,廖国云.2 016例高原肺水肿现场救治体会[J].高原医学杂志,2003,13(2):17-19. |
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| 作者姓名： | 牟信兵 李素芝 陈有 廖国云 |
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| 作者单位： | 西藏军区总医院全军高山病防治研究中心,850003 |
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| 基金项目： | 全军十五指令性课题(01L062) |
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| 摘 要： | 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1956年-2002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。
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| 关 键 词： | 高原 高原肺水肿 治疗 |
THE CLINICAL ANALYSIS FOR THE TREATMENT OF 2 016 CASES WITH HIGH ALTITUDE PULMONARY EDEMA |
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| Mou Xinbing,Li Suzhi,Chen You,Liao Guoyun The Institute of High Altitude Medicine,General Hospital of Tibet.THE CLINICAL ANALYSIS FOR THE TREATMENT OF 2 016 CASES WITH HIGH ALTITUDE PULMONARY EDEMA[J].Journal of High Altitude Medicine,2003,13(2):17-19. |
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| Authors: | Mou Xinbing Li Suzhi Chen You Liao Guoyun The Institute of High Altitude Medicine General Hospital of Tibet |
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| Abstract: | Objective:To find the useful methods for the treatment of high altitude pulmonary edema(HAPE) at high altitude.Methods:The 2 016 cases with HAPE in our hospital from 1956-2002 were analyzed retrospectively.Results:Compared with basic therapy,the average admitted days were reduced,the symptom,physical and X-ray signs disappeared more quickly in aminophylline,furosemide,nifedipine,phentolamine,anisodamine(654-2),hyperbaric oxygen and nitric oxide therapy.The therapeutic effect of dexamethasone in HAPE was as same as the basic therapy.Conclusion:In general,the clinical effects of aminophylline,furosemide and NO in patients with HAPE were better than the effects of nifedipine,phentolamine,anisodamine and hyperbaric oxygen. |
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| Keywords: | High altitude High altitude pulmonary edema therapy Aminophylline Nifedipine NO Hyperbaric oxygen |
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