高海拔地区的疾病
Buddha Basnyat1, David R Murdoch
1Nepal International Clinic, Kathmandu, Nepal; Himalayan Rescue Association, Kathmandu, Nepal. rishibas@wlink.com.np <rishibas@wlink.com.np>
Lancet (London, England)
|June 13, 2003
概括
高海拔疾病,包括AMS,HACE和HAPE,有复杂的原因尚未完全理解. 逐渐上升和乙胺是预防的关键策略,未来的研究有望带来更多的见解.
科学领域:
- 高度医学 高度医学
- 生理学 生理学 生理学
- 病理生理学 病理生理学
背景情况:
- 高海拔疾病包括急性山病 (AMS),高海拔脑 (HACE) 和高海拔肺 (HAPE).
- 目前对病理生理学的理解是不完整的,特别是关于AMS/HACE中的大脑胀和HAPE中的肺高血压.
- 关于对高海拔疾病易感性的遗传基础的数据有限.
研究的目的:
- 审查当前对高海拔疾病病理生理学的理解.
- 讨论预防策略和药理干预措施.
- 突出未来研究领域.
主要方法:
- 关于高海拔疾病现有研究的文献综述.
- 综合当前关于机制,遗传学和预防的知识.
- 识别知识缺口和未来的研究方向.
主要成果:
- 关键的理解领域包括AMS/HACE中的大脑胀机制和HAPE中的肺高血压.
- 炎症和膜液清除与HAPE有关.
- 逐渐上升是主要的预防方法;乙胺是AMS的首选化疗预防方法.
结论:
- 需要进一步的研究,以充分阐明高海拔疾病的病理生理学和遗传基础.
- 逐渐适应仍然是最有效的预防策略.
- 乙胺是预防AMS的推药理剂,目前正在研究其他治疗方法.
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