野外與登山醫學----20--WMS 2019 update HAPE PREVENTION Gradual ascent

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update
統一名詞翻譯
AMS 急性高山病
HACE 高海拔腦水腫
HAPE 高海拔肺水腫
acute altitude illness 急性高海拔疾病

High altitude pulmonary edema
Information on the epidemiology, clinical presentation, and pathophysiology of HAPE, the majority of which comes from studies in adults, is provided in extensive reviews.13,14,79,80 Although some of the prophylactic and therapeutic modalities are the same for HAPE as for AMS and HACE, important differences in the underlying pathophysiology mandate certain alternative prevention and treatment approaches.

PREVENTION Potential preventive measures for HAPE include the following.
Gradual ascent
No studies have prospectively assessed whether limiting the rate of increase in sleeping elevation prevents HAPE; however, there is a clear relationship between rate of ascent and disease incidence.17,81,82 Recommendation. Gradual ascent is recommended to prevent HAPE. Recommendation Grade: 1B