影响高原脑水肿预后的相关因素研究  

Study of Correlative Factors affecting the Prognosis of High Altitude Cerebral Edema(HACE)

作　　者：陈仕迅[1] 郑建保[1] 王宇亮[1] 

机构地区：[1]西藏军区总医院内二科,850003

出　　处：《高原医学杂志》2006年第4期25-27,共3页Journal of High Altitude Medicine

摘　　要：目的:研究影响高原脑水肿预后的主要因素。方法:对我院2001年1月—2004年12月间诊治的63例高原脑水肿患者进行分析,按进藏方式分为汽车组(36例)、飞机组(27例),按治疗预后情况分为治愈组(57例)及死亡组(6例),对发病时间、发病至入院诊治时间、意识障碍程度、并发症等进行对比分析。结果:汽车组与飞机组比较,发病至入院诊治时间长、意识障碍程度重、并发症多、预后差;治愈组与死亡组比较并发症少、意识障碍程度轻;平均发病时间差别无显著性。结论:进藏方式、发病至入院诊治时间、并发症是影响高原脑水肿预后的主要因素。Objective： To study the main factors which affect the prognosis of high altitude cerebral edema （HACE）. Methods： The documents of 63 patients with HACE between Jon 2001 and Dee 2004 in our hospital were reviewed. All subjects were divided into the coach group （n=36） who exposed to Tibet high altitude by coach and the plane group （n=27） exposed by plane, they also were designed in the cure group （n=57） and death group （n=6） according to the result of treatment. The compared analysis was done on episode time, duration of hospitalization, disturbance of consciousness and complications et al. Results： The signs and symptoms were more serious in the coach group and the prognosis was terrible. Conclusions. The correlative factors affecting the prognosis of HACE include the altitude exposed time, ways, HACE episode time, complications and efficiency of treatment.

关 键 词：高原脑水肿(HACE) 并发症 预后 

分 类 号：R594.3[医药卫生—内科学]