青海玉树地震34例高原病临床分析
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摘要
目的总结玉树地震期间志愿者高原病发病特点、救治经验。方法对2010年4～6月在玉树地震救援期间确诊的34例高原病病例临床特征、治疗转归、预后进行分析总结。结果 34例病例中,男30例,女4例,发病年龄19～45岁,平均31.4岁。其中28例来自于平原地区,均为初次进高原。西宁市区6例,均为长期在西宁生活、工作10年以上者。所选病例均既往无特殊病史,其中高原肺水肿14例,高原脑水肿9例,高原肺水肿合并高原脑水肿6例,高原不适症5例。发生多器官功能衰竭者6例,接受有创机械通气治疗2例,死亡2例。结论高原病的发生主要与受凉感冒、缺氧、高海拔等因素相关,高原肺水肿合并脑水肿者死亡率高。
Objective To summarize characteristics of volunteers plateau sickness,medical experiences during the earthquake in yushu.Methods To analyze and summarize the clinical characteristics,treatment outcome,prognosis of patients with 34 plateau sickness from April to June in 2010.Results 34 patients with plateau sickness in yushu earthquake, males 30,female 4,age of onset is 19-45 years old,which average age is 31.4.And among them,28 cases from the plain region and go into plateau first time.Between them,6 cases of Xining City,of which live and work over 10 years.Selected cases were no particular previous medical history.Among them,14 cases of plateau pneumochysis,9 examples of cerebral edema, 6 cases of plateau pneumochysis combine with plateau cerebral edema,plateau disposition in 5 cases.Multiple organ failure occurred in 6 cases,and receiving invasive mechanical ventilation in the treatment of 2 cases,2 cases died.Conclusion The factors which related to altitude sickness are catch colds,hypoxia,high altitude,the plateau pneumochysis combining with cerebral edema has been high mortality rate.
Objective To summarize characteristics of volunteers plateau sickness,medical experiences during the earthquake in yushu.Methods To analyze and summarize the clinical characteristics,treatment outcome,prognosis of patients with 34 plateau sickness from April to June in 2010.Results 34 patients with plateau sickness in yushu earthquake, males 30,female 4,age of onset is 19-45 years old,which average age is 31.4.And among them,28 cases from the plain region and go into plateau first time.Between them,6 cases of Xining City,of which live and work over 10 years.Selected cases were no particular previous medical history.Among them,14 cases of plateau pneumochysis,9 examples of cerebral edema, 6 cases of plateau pneumochysis combine with plateau cerebral edema,plateau disposition in 5 cases.Multiple organ failure occurred in 6 cases,and receiving invasive mechanical ventilation in the treatment of 2 cases,2 cases died.Conclusion The factors which related to altitude sickness are catch colds,hypoxia,high altitude,the plateau pneumochysis combining with cerebral edema has been high mortality rate.
引文
[1]我国高原病命名分型及诊断标准.中华医学会第三届高原学术讨论会推荐稿.高原医学杂志,1996,6(1):4.
[2]牟信兵,李素芝,王学凯,等.高原疾病学.拉萨:西藏人民出版社.2001:126-132.170-173.
[3]叶柳茂,刘英,叶平安.急性高原肺水肿117例救治体会.高原医学杂志,2002,12(2):38—39.
[2]牟信兵,李素芝,王学凯,等.高原疾病学.拉萨:西藏人民出版社.2001:126-132.170-173.
[3]叶柳茂,刘英,叶平安.急性高原肺水肿117例救治体会.高原医学杂志,2002,12(2):38—39.
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