玉山的急性山病:来自现实世界的实践 (2018-2019) 的结果
Te-Chun Shen1, Mei-Chen Lin2, Cheng-Li Lin3
1Division of Critical Care Medicine, Chu Shang Show Chwan Hospital, Nantou, Taiwan; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan; School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.
Journal of the Formosan Medical Association = Taiwan yi zhi
|February 8, 2024
概括
急性山病 (AMS) 影响了超过一半的寻求医疗帮助的玉山登山者,严重的病例往往缺乏预防药物. 氧和度和路易斯湖AMS得分有助于预测AMS的发生和严重程度.
科学领域:
- 高度医学 高度医学
- 高海拔地区的生理学
- 旅行 医学 旅行 医学
背景情况:
- 急性山病 (AMS) 是高海拔地区常见的疾病.
- 玉山登山者中AMS的患病率和风险因素没有得到充分的记录.
- 在Pai-Yun Lodge的医疗咨询为AMS研究提供了一个独特的数据源.
研究的目的:
- 为了确定在参观玉山的登山者中AMS的流行率.
- 确定与AMS的发展和严重程度相关的因素.
- 为了评估氧和和湖路易斯AMS得分在预测AMS中的实用性.
主要方法:
- 回顾性研究来自Pai-Yun诊所 (2018-2019) 的医疗记录.
- 包括在Pai-Yun Lodge (3402米) 寻求医疗服务的1021名患者.
- 分析了患者的人口统计数据,登史,药物使用,氧气和和Lake Louise AMS分数.
主要成果:
- 在寻求医疗服务的患者中,57.0%被诊断为AMS (39.5%轻度,60.5%重度).
- 与AMS发展相关的因素包括年轻,没有最近的登史,第一次登,没有预防药物,低氧和和高LLAMSS.
- 与AMS严重程度相关的因素包括没有预防药物,低氧和和高LLAMSS.
结论:
- 在需要医疗照顾的玉山登山者中,AMS非常普遍.
- 氧和LLAMSS是预测AMS发生和严重程度的宝贵工具.
- 有针对性的预防策略和早期评估对于管理这一群体中的AMS至关重要.
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