46 cases of high altitude pulmonary edema in children Treatment.docVIP

 PAGE \* MERGEFORMAT 7 46 cases of high altitude pulmonary edema in children Treatment [Key Words] high altitude, pulmonary edema, children From January 2007 to December 2008, our hospital were treated in pediatric patients with high altitude pulmonary edema, 46 cases were cured and discharged after hospital treatment. Now the situation is summarized below. 1 Clinical data 1 1 General data from January 2007 to December 2008 the children were treated 46 cases of high altitude pulmonary edema, in which 31 males and 15 females. The age of 15 days to 11 years old, average age 4 years 7 months. of which 32 cases were entering the plateau, 14 cases back to the plateau, of which more than 2 heavy-duty .42 cases were 2 cases of Han, Hui 3 cases, 1 case of Tibet, Tibetan .38 cases of time for November 3 months, 8 patients in Tibet time in April to 10 June. onset time in Tibet after the 3h ~ 3d plane cases ranging from .36 to Tibet, Tibet by train in 10 cases. prior to the onset of upper respiratory infection 24 cases, intense activity in 18 cases, with congenital ventricular septal defect in 1 case, 3 patients had no incentive. 1 2 diagnostic criteria of the Chinese Medical Association at the Third National Symposium on High Altitude Medicine, proposed diagnostic criteria [1] .46 patients had met the diagnostic criteria, and based on our hospital’s standard classification of high altitude pulmonary edema [2], points for light, medium and heavy. of which 28 cases of light, medium in 16 cases, severe in 2 cases. 1 3 Treatment General treatment: (1 oxygen, (2 bed rest, (3 appropriate antibiotics, (4 children with irritability, crying, anxiety, given sedatives. Mild group therapy: the basis of the general treatment, be 5% glucose + dexamethasone + aminophylline intravenous infusion. medium-sized group therapy: treatment in the mild group on the basis, together with intravenous dexamethasone, furosemide bolus, combined with ultrashort wave treatment (20