关于高原病的命名、临床分型和诊断标准的建议

A PROPOSAL FOR THE.NOMENCLATURE,CLINICAL CLASSIFITION, AND DIAGNOSTIC CRITERIA OF MOUNTAIN SICKNESS

本文阐述了高原病的定义、命名、临床分型和诊断标准。强调指出高原病的命名和临床分型应根据临床特征并结合病因、病理生理、病理诸因素综合考虑,应力求精简,明确和实用,有利于临床诊断、治疗、预后判断和研究以及疾病统计管理,并对命名、分(?)和诊断标准作了简要讨论。

Mountain sickness is a prevalent problem clinically at high altitude of 3000m or more. There is a lack of united agreement on definition,and nomenclature,and clinical classifition,and diagnostic criteria, for this disease so far in the world,which is tried to expound as a proposal in this paper. Mountain sickness is that of a kind of condition,in which, the human body of the victim can't compensate the main influences of high altitude on itself due to either unacclimatization or loss of acclimatization (or adaptation)to altitude hypoxia,and are ameliorated of disappeared on descending to lower altitude, it does not include those forms of disease seen in low altitade aggrvated by altitude hypoxia and being full in some mountain sickness color. Mountain sickess may be classifide in two main categories: 1. Acute mountain sickness (AMS). (1) Mild type: acute mountain sickness (AMS). (2) Severe type: A. acute high altitude pulmonary edema (AHAPE). b. Acute high altitude cerebral edema (AHACE) 2. Chronic mountain sicknessCMS). (1) Excessive polycythemia of bing altitude (EPHA, Monge's disease), a. Stage 1 pure excessive polycythemia of high altitude: btage2 complicated organ damage; c Stage 3 chronic congestive heart failure or/and other organ damags. (2) High altitude heart diseae (HAHD). (3) High altitude hypertention (HAH).(4) High ale hypotention (HAPO). 3. Others.