高原肺水肿398例临床分析

CLINICAL ANALYSIS OF 398 CASES WITH HIGH ALTIUDE PULMONARY EDEMA (HAPE)

目的 :探讨高原肺水肿的临床特点 ,总结其诊治经验 ;方法 :对我院 1 986年 6月至 2 0 0 1年 4月收住的资料较为完整的高原肺水肿患者临床资料进行回顾性分析研究 ;结果 :海拔 40 0 0m以上者发病 1 78例 ,占 44.72 % ;以上呼吸道感染为诱因发病者 1 72例 ,占43 .2 2 % ;X线表现单侧肺病变以右肺为多 ;窦性心动过速为心电图异常主要类型 ,占62 .3 1 % ;合并高原脑水肿者死亡 9列 ,占死亡的 75% ,是导致死亡的重要因素 ;结论 :高原肺水肿海拔愈高 ,发病率愈高 ;上呼吸道感染可诱发高原肺水肿 ;合并高原脑水肿者 。

To review the clinical characteristics of HAPE and the ways of treatment. Methods: The data of 398 cases with HAPE, administrating in our hospital from 1986 to 2001, were reviewed. Results:178 cases (44.7%) had HAPE over 4 000m of altitude;172 cases (43.22%) with HAPE were induced by upper respiratory tract infection, especially change of right lung was more on X-ray film.62.31% of all cases showed a sinus tachycardia on CEG; 9 cases with HAPE dead due to associate with brain edema. Conclusion: The mortality is higher in the patients with HAPE associated with brain edema at high altitude.