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目的总结在特高高原组织救治急性肺水肿的经验教训。方法对2009年7月在海拔5400m高原所发生的14例急性高原肺水肿(4例合并急性高原脑水肿)救治经过进行回顾总结。结果 1例急性肺水肿患者在由基层部队组织后送途中死亡,其余13例由驻军医院组织低转至医疗站(海拔3700m)均治愈。结论在特高海拔地区,早期诊断、就地治疗、前接后送、阶梯治疗是提高救治水平的关键措施。
Objective To summarize the experiences and lessons in the treatment of acute pulmonary edema in the plateau. Methods A total of 14 cases of acute high altitude pulmonary edema (4 cases with acute plateau cerebral edema) occurred in July 2009 at 5400m above sea level were reviewed and summarized. Results One patient died of acute pulmonary edema after being sent by the grassroots units and the remaining 13 cases were cured by the low transfer from the hospital to the medical station (3700m above sea level). Conclusion In the ultra-high altitude area, early diagnosis, in situ treatment, anterior delivery and step-down treatment are the key measures to improve the treatment level.