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儿童高海拔肺和急性山病:临床特征和风险决定因素
Yu-Mei Mi1, Wei-Lin Hu2, Hua-Mao Chao3
1Department of Infectious Disease, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China.
Pediatric pulmonology
|June 5, 2024
概括
高BMI是儿童高海拔肺水腫 (HAPE) 的关键危险因素,主要影响男性. 提高意识和预防策略对于高海拔地区的儿科HAPE至关重要.
科学领域:
- 儿科医学 儿科医学
- 高山病研究 高山病研究
- 肺部医学 肺部医学
背景情况:
- 高海拔肺水腫 (HAPE) 和急性山病 (AMS) 對兒童造成重大健康風險.
- 了解儿科患者群体的特定临床表现和风险因素对于有效管理至关重要.
研究的目的:
- 确定儿童HAPE和AMS的临床特征.
- 在儿科患者群体中确定HAPE的独立风险因素.
主要方法:
- 对被诊断患有HAPE或AMS的儿科患者 (18岁以下) 的临床数据的回顾性分析.
- 对HAPE和AMS组之间的临床数据进行比较.
- 多变量后勤回归用于识别HAPE风险因素.
主要成果:
- 这项研究包括74名儿科患者:47名HAPE患者和27名AMS患者.
- HAPE患者,主要是男性 (87.2%),比AMS患者显示出更高的BMI,最近的呼吸道感染,升高的WBC,较低的SpO2和更高的心率.
- 高BMI被确定为HAPE的一个独立风险因素 (OR=19.389,p=0.045).
结论:
- 高BMI是儿童HAPE的关键独立风险因素.
- 在这个队列中,HAPE主要影响男性.
- 建议加强对高海拔地区儿童HAPE的认识和预防措施.
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