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Subclinical high altitude pulmonary edema: A clinical observation of 12 cases in Yushu

查看全文 作  者:Li [1]Shuzhi;Zheng [1]Bihai;Wu [2,3]Tianyi;Chen [4]Huixing;Zhang [5]Ming 高影响力作者 机构地区:[1]Tibet Military General Hospital of PLA;[2]High Altitude Medical Research Institute;[3]High Altitude Medical Research Center,Tibet University;[4]Qinghai Cardio-Cerebro Hospital;[5]Qinghai People's Hospital高影响力机构 出  处:《Engineering Sciences》索引2013年第11卷第2期,共5页高影响力期刊 基  金:'973'National Key Basic Research and Development Program(No.2012CB518202);Project of Qinghai Development of Science and Technology(No.2011-N-150) 摘  要:During the Yushu Earthquake on April 14,2010,a high incidence of acute high altitude illness was observed in the mountain rescuers,and 0.73 % of these patients suffered from high altitude pulmonary edema,of which 12 patients developed subclinical pulmonary edema and concomitantly contracted acute mountain sickness. Symptoms and signs were atypically high heart rate with high respiratory rate,striking cyanosis,and significantly low oxygen saturation,whereas no moist rates were heard on auscultation,and Chest X-ray showed peripheral with a patchy distribution of mottled infiltrations in one or both lung fields. We believe that subclinical high altitude pulmonary edema is an earliest stage of pulmonary edema at high altitude. The possible pathogenesis and the diagnosis were discussed. 关 键 词:临床观察 肺水肿 高原病 玉树 血氧饱和度 救援人员 呼吸频率 发病机理
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