急性重型高原病并发多器官功能障碍综合征的早期诊断与临床救治  

Early diagnosis and clinical treatment for severe acute mountain sickness with multiple organ dysfunction syndrome

作　　者：周其全[1] 张世范[2] 

机构地区：[1]重庆第三军医大学高原医学系高原疾病学教研室 高原医学教育部重点实验室,400380 [2]兰州军区兰州总医院高原危重病研究室,兰州730050

出　　处：《解放军医学杂志》2010年第10期1183-1186,共4页Medical Journal of Chinese People's Liberation Army

基　　金：军队“十一五”攻关课题(2008G093);国家科技支撑计划课题(2009BAI85B03)

摘　　要：高原脑水肿与高原肺水肿是高原环境中对人体威胁最大的高原危重病,也是导致死亡或诱发高原多器官功能障碍综合征(H-MODS)的主要原因,过去对其认识不深,确诊率不高。因此,提高对H-MODS的认识,加强其防治,寻找敏感的诊断指标、建立科学的评分诊断标准、实施有效的临床救治,做到早发现、早诊断、早治疗,对改善H-MODS的预后极其重要,也势在必行。本文重点介绍急性重型高原病并发MODS的诊断标准与临床救治措施,以期引起足够重视,提高H-MODS的防治水平,确保高原移居人群的生命安全。High altitude cerebral edema （HACE） and high altitude pulmonary edema （HAPE） constitute two kinds of high altitude critical diseases, which form the greatest threat to human health in plateau environment, and they are also the main causes leading to death and inducing high altitude multiple organ dysfunction syndrome （HMODS）. In the past, the final diagnosis rate of H-MOIDS was lower because the knowledge and information concerning H-MODS was limited. It is, therefore, extremely urgent to understand H-MODS well, so as to improve prevention and treatment, by investigating sensitive indexes for diagnosis, to establish scientific diagnostic scoring scale, and to look for effective clinical treatment, so as to realize early early diagnosis and early treatment. All these efforts would be important to improve prognosis of H-MODS. Diagnostic criteria and clinical first-aid measure for severe acute mountain sickness with H-MODS are highlighted in the present paper, hoping they will amuse adequate attention on improving prevention and treatment, raising the leval of first-aid and treatment strategy of H-MODS, and ensure the safety of immigrants to high altitude areas.

关 键 词：高原病 多器官功能衰竭 早期诊断 卫生措施 

分 类 号：R598.6[医药卫生—内科学]