High altitude pulmonary edema 31 cases.docVIP

 PAGE \* MERGEFORMAT 7 High altitude pulmonary edema 31 cases [Key Words] high altitude pulmonary edema, clinical analysis High altitude pulmonary edema is a special high altitude disease. Acute onset of the disease, the development of rapid, severe illness, if not timely medical treatment may cause death. Our hospital in October 2008 to May 2009 at an altitude of 3,000 meters in Tibet Linzhi A total of 31 patients admitted to high altitude pulmonary edema, this paper, the literature on incentives and treatment of the disease were discussed. 1 Materials and Methods 1.1 General Information 27 males and 4 females, aged 17 to 38 years, mean 27.6 years, 18 to 25 years in 17 cases, 25 to 30 years in 5 cases, a total of nine cases over 30 years old, are Han Chinese, the group flew into the plateau the highest incidence of those, a total of 28 cases, 90.3%, the incidence Nyingchi who travel into the only 3 cases, accounting for 9.6%. 1.2 The main symptoms All patients were fatigue, shortness of breath, chest tightness, coughing, white or slightly pink foam sputum, headache and dizziness in 27 cases, 15 cases of palpitation and chest tightness, nausea and vomiting in 11 cases. 1.3 The main signs of 21 cases of fever, up to 39 (including 19 patients with upper respiratory tract infection, accounting for 90.4% of the number of elevated body temperature), 25 cases of pulse faster,gt; l00 times / min, respiration was faster,gt; 21 times / min, at speeds up to 42 times / min, blood pressure were within normal range, facial and lower extremity edema in 3 cases, bilateral pulmonary rales could be heard 27 cases of wet and dry beep 3 cases, right lower lung in 1 case moist rales All patients had pulmonary valve, the second heart sound with hyperthyroidism, 13 patients with heart sound split. 1.4 auxiliary examination Hemoglobin in the normal range, and 21 increased the total number of white blood cells, increasing the neutral nuclear lobulat