野外與登山醫學---0--WMS 2019 acute altitude illness update 目錄

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 (不建議使用高山症, 症通常是指不同病因但有相似症狀的疾病)
舉例: 類流感症候群, 發燒合併其他呼吸道症狀, 類流感症狀的原因很多, 例如登革熱, 鉤端螺旋體感染, 虐疾等等)
(流感之外的其他疾病,呼吸道症狀並非典型症狀)
(流感患者也可能沒有呼吸道症狀)
HACE 高海拔腦水腫
HAPE 高海拔肺水腫

 

Acute altitude illness (AAI) 急性高海拔疾病/高山症
(民眾常將急性高山病AMS與 acute altitude illness 高山症/高海拔疾病搞錯)

AAI (acute altitude illness) 包含AMS, HACE, 及 HAPE

 
acetazolamide 丹木斯
Dexamethasone 類固醇(地塞米松, 類固醇種類繁多,為了方便閱讀, 以類固醇代替)
Inhaled budesonide 吸入性類固醇(吸入性類固醇不僅這一種)
Staged ascent 分段爬升
Preacclimatization 高度適應
Hypoxic tents 低氧帳

高海拔定義,何時可使用本指引

Acute mountain sickness and high altitude cerebral edema
PREVENTION
Gradual ascent 建議緩慢爬升睡眠海拔高度, 以預防AMS/HACE
Acetazolamide 中度或高度風險時,強烈建議使用丹木斯預防AMS/HACE, 兒童也可以使用
Dexamethasone 中度或高度罹患AMS風險等級, 建議作為丹木斯替代藥物, 兒童不建議使用
Inhaled budesonide 吸入性類固醇不建議做為預防AMS藥物
Ginkgo biloba 不建議使用銀杏預防AMS(或其他高海拔疾病)
Ibuprofen 不想或不能吃丹木斯/類固醇的人, 可服用布洛芬預防AMS. 證據等級 2B
Acetaminophen 不建議使用普拿疼替代丹木斯或類固醇, 做為預防AMS藥物
Staged ascent and preacclimatization
Hypoxic tents
Other options

AMS/HACE/HAPE 發生率(急性高山病/高海拔腦水腫/高海拔肺水腫)

https://ymmcc2019.blogspot.com/2023/08/amshacehape.html

201711080910 AMS HAPE HACE 海拔 3600 西藏機場調查高海拔疾病發生率

https://ymmcc2019.blogspot.com/2019/12/3600-ams-hape-hace.html

野外及登山醫學---WMS 2019 acute altitude illness update 目錄

https://ymmcc2019.blogspot.com/2020/04/wms-2019-acute-altitude-illness-update_28.html

HAPE + HACE TREATMENT APPROACH 39

https://www.blogger.com/blog/post/edit/preview/1858837996889081076/3409425706749151133

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT SUGGESTED APPROACH 38

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_21.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Diuretics/Acetazolamide 36

https://www.blogger.com/blog/post/edit/preview/1858837996889081076/8596568490877058325

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Dexamethasone 37

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_88.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Continuous positive airway pressure 35

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_72.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Phosphodiesterase inhibitors 34

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_60.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Nifedipine 32

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_87.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Beta-agonists 33

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_69.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Portable hyperbaric chambers 30

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_70.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Supplemental oxygen 29

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_29.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE TREATMENT Descent 28

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_54.html

野外及登山醫學---27--WMS 2019 update HAPE PREVENTION SUGGESTED APPROACH

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-ilness-wms-2019-update_19.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE PREVENTION Preacclimatization and staged ascent 26

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_83.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE PREVENTION Acetazolamide 25

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_42.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE PREVENTION Dexamethasone 24

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_3.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE PREVENTION Tadalafil 23

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_55.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE PREVENTION Salmeterol 22

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_1.html

野外及登山醫學---Acute altitude illness WMS 2019 update HAPE PREVENTION Nifedipine 21

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_14.html

野外及登山醫學---20--WMS 2019 update HAPE PREVENTION Gradual ascent

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_25.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment SUGGESTED APPROACH 19

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_76.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Acetaminophen/ Ibuprofen 17

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_15.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Continuous positive airway pressure 18

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_63.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Acetazolamide 15

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_4.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Dexamethasone 16

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Tre

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_7.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Portable hyperbaric chambers 14

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_32.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Supplemental oxygen 13

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_73.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE Treatment Descent 12

Wilderness Medical Society Clinical Practice Guidelines for the Pr

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_0.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE prevention suggested approach 11

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_13.html

野外及登山醫學---Acute altitude illness WMS 2019 update AMS/HACE prevention others 10

https://ymmcc2019.blogspot.com/2020/04/acute-altitude-illness-wms-2019-update_96.html

WMS 2019 update -- Conclusions  40(最後一篇了)  (done)

下面是導向隨意窩 xuite 連結. 已經失效. 多數有轉貼到這個blogger

Acute mountain sickness and high altitude cerebral edema
PREVENTION
Gradual ascent 建議緩慢爬升睡眠海拔高度, 以預防AMS/HACE
Acetazolamide 中度或高度風險時,強烈建議使用丹木斯預防AMS/HACE, 兒童也可以使用
Dexamethasone 中度或高度罹患AMS風險等級, 建議作為丹木斯替代藥物, 兒童不建議使用
Inhaled budesonide 吸入性類固醇不建議做為預防AMS藥物
Ginkgo biloba 不建議使用銀杏預防AMS(或其他高海拔疾病)
Ibuprofen 不想或不能吃丹木斯/類固醇的人, 可服用布洛芬預防AMS. 證據等級 2B
Acetaminophen 不建議使用普拿疼替代丹木斯或類固醇, 做為預防AMS藥物
Staged ascent and preacclimatization
Hypoxic tents
Other options

SUGGESTED APPROACH TO AMS/HACE PREVENTION 總結AMS/HACE預防策略


Conclusion 結論