急性高原反应的诊断和处理原则

PRINCIPLES OF DIAGNOSIS AND TREATMENT OF BENIGN FORM OF ACUTE MOUNTAIN SICKNESS

提出了急性高原反应症状学和生理学诊断标准。以头痛和呕吐为主要症状，兼顾其它症状，在对每一症状进行定性和评分的基础上，将急性高原反应区分为基本无反应，轻度、中度、和重度反应。以判别分析方法推导出以ＰａＯ２和ＡａＤＯ２为生理学评价指标的两类判别式，根据计算值Ｚ值的大小，将急性高原反应区分为基本无反应和有反应；根据ＰａＯ２和ＡａＤＯ２大小，应用判别图亦可将急性高原反应区分为基本无反应和有反应。

 In GJB 1098-91, symptomatological diagnosis mainly based on headache and vomiting which are the most prominent symptoms of benign form of acute mountain sickness was proposed. According to the degree and the scores of above symptoms, the sickness was divided into four degrees (light, mild, moderate, and severe). Then, the discriminant formula that is to evaluate the sickness was worked out by means of discriminant analysis. In the formula, arterial partial pressure of oxygen(PaO2)and alveolar-arterial partial pressure gradient of oxygen(AaDO2) acted as physiological evaluation index.