关于对高原病命名及临床分型的意见

THEOPINION OF CLINICAL CLASSIFICATION AND NOMENCLATURE ABOUT HIGH ALTITUDE SICKNESS

作者通过对西藏地区8所驻不同海拔高度医院收治的22334例高原病病例的调查分析和对3000余名(1990～1991年)乘机进藏人员的急性高原病发病情况系统观察,提出高原病的命名是:指进入或居住在高原(≥3000m)的人群因受低压缺氧为主要致病因素的影响而发生的疾病;并建议将其分为八型,即:①急性高原反应;②高原肺水肿;③高原性脑病;④高原高血压;⑤高原红细胞增多症;⑥高原性心脏病;⑦高原适应衰退;⑧慢性高原病混合型(即Monge氏病)。

In order toexplore the clinical classification and nomenclature of high altitude sickness,we analyse 22 334 cases of high al—titude sickness in Tibet region (8 hospitals in different sea level),and investigate the incidence of acute high altitude sickness of 3000m soldiers,who enter to highland(sea level≥3000m)from lowland The opinion of its classification and nomenclature are following: 1. Nomenclature: Exposed to high altitude environment (sea level≥3000m), the hypobaric hypoxia affects on body, and the pathological course will happen, we will call this course as high altitude sickness. 2. Clinical classification: A. Acute high altitude response; B. High altitude pulmonary edema; C. High altitude cerebral sickness; D. High altitude hypertension; E. High altitude polycythemia; F. High altitude cardiac sickness; G. High altitude function failure; H. Monge's sickness(Mixed chronic high altitude sickness).