高血壓 高尿酸 慢性腎病 胰島素 https://2019medicinenote.blogspot.com/2019/12/blog-post_57.html . 糖尿病相關筆記~目錄 https://2019medicinenote.blogspot.com/2020/01/blog-post_4.html

2020年4月27日 星期一

野外與登山醫學----28--WMS 2019 update HAPE TREATMENT Descent 28

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

TREATMENT 
Therapeutic options for HAPE include the following. 

Descent 
As with AMS and HACE, descent remains the single best treatment for HAPE. Individuals should try to descend at least 1000 m or until symptoms resolve. They should exert themselves as little as possible while descending (eg, travel without a pack or via motor vehicle, helicopter, or animal transportation) because exertion can further increase pulmonary artery pressure and exacerbate edema formation. Recommendation. Descent is indicated for individuals with HAPE. Recommendation Grade: 1A

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