野外與登山醫學~~---36--WMS 2019 update HAPE TREATMENT Diuretics/Acetazolamide 36

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

Diuretics
Although their use is documented in older reports,100 diuretics have no role in HAPE treatment, particularly because many patients with HAPE have intravascular volume depletion. Recommendation. Diuretics should not be used for treatment of HAPE. Recommendation Grade: 1C.

Acetazolamide
Although clinical reports document use of acetazolamide for treatment of HAPE,97,98 there are no systematic studies examining its role in HAPE treatment. The diuretic effect might provoke hypotension in the intravascularly depleted patient, and the added stimulus to ventilation might worsen dyspnea. Recommendation. Acetazolamide should not be used for treatment of HAPE. Recommendation Grade: 1C