58例高原肺水肿临床分析(附四例血液动力学结果)

CLINICAL ANALYSIS OF 58 CASES OF HIGH-ALTITUDE PULMONARY EDEMA

本文分析了58例高原性肺水肿患者的临床及4例血液动力学资料。结果表明:本病临床表现以胸闷气短、咳嗽咳痰、头痛发绀、心动过速、P_2亢进、肺部罗音为主。胸部X线片呈现局部或弥漫性肺水肿征象。血液动力学特点为高排血量(CO=8.74L/min)和肺动脉高压(7.04/4.07kPa(52.8/30.5mmHg)]。52例(89.7%)以吸氧加硝苯啶(20mg,4次/日)治疗,均在3～6日内痊愈,因而认为硝苯啶可作为首选药物。

Clinical data in 58 cases of high-altitude pulmonary edema with hemodynamie data in 4 of them were analyzed. The clinical features were dyspnea, chest discomfort, cough, hemoptysis, headache, cyanosis, tachycardia, and rales. Roentgenograms revealed local or diffused pulmonary edema. Hemodynamie study in patients showed increased cardiac output and pulmonary pressure. 52 cases were treated with rest, oxygen and nifedipine (20mg, qid), All of them recovered in 3-6 days (average 4 days). It suggests, therefore, that nifedipine is the drug of choice for treatment of high-altitude pulmonary edema.