| 高原肺水肿398例临床分析 |
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| 引用本文： | 刘争建,刘丽霞,周军.高原肺水肿398例临床分析[J].高原医学杂志,2002,12(1):31-33. |
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| 作者姓名： | 刘争建 刘丽霞 周军 |
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| 作者单位： | 青海省格尔木市解放军第22医院，816000 |
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| 摘 要： | 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1986年6月至2001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4000m以上者发病178例，占44.72%；以上呼吸道感染为诱因发病者172例，占43．22％；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62．31％；合并高原脑水肿者死亡9例，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。
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| 关 键 词： | 诊断 治疗 临床分析 高原 肺水肿 脑水肿 |
CLINICAL ANALYSIS OF 398 CASES WITH HIGH ALTIUDE PULMONARY EDEMA (HAPE) |
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| Liu Zengjian,et al The nd Hospital of PLA.CLINICAL ANALYSIS OF 398 CASES WITH HIGH ALTIUDE PULMONARY EDEMA (HAPE)[J].Journal of High Altitude Medicine,2002,12(1):31-33. |
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| Authors: | Liu Zengjian The nd Hospital of PLA |
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| Institution: | Liu Zengjian,et al The 22nd Hospital of PLA |
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| Abstract: | To review the clinical characteristics of HAPE and the ways of treatment. Methods: The data of 398 cases with HAPE, administrating in our hospital from 1986 to 2001, were reviewed. Results:178 cases (44.7%) had HAPE over 4 000m of altitude;172 cases (43.22%) with HAPE were induced by upper respiratory tract infection, especially change of right lung was more on X-ray film.62.31% of all cases showed a sinus tachycardia on CEG; 9 cases with HAPE dead due to associate with brain edema. Conclusion: The mortality is higher in the patients with HAPE associated with brain edema at high altitude. |
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| Keywords: | High altitude Pulmonary edema Brain edema Mortality |
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