摘要
当前急性高原反应(AMS)尚缺乏客观准确的评估系统,主要依靠Lake Louise主观症状量表诊断,临床医生必须排除相似症状的其他疾病。许多学者试图通过监测低氧暴露后的生理变量来寻找AMS的辅助诊断指标,其中血压、心率、心输出量、血氧饱和度、心率变异、大脑中动脉流速等生理参数在AMS评估中的价值较高。基于此,本文对生理参数与AMS的关系做了简要综述并就目前存在的问题及发展方向进行讨论。
There is still no objective and precise system currently for assessment and evaluation of acute mountain sickness(AMS),which is evaluated mainly at present with Lake Louise Score,a subjective symptom questionnaire.The clinician should rule out other conditions with similar clinical presentations of AMS.Many researchers have focused on the measurement of physiological parameters in a hope to support the assessment of AMS.In such case,the role of blood pressure,heart rate,cardiac output,oxygen saturation,middle cerebral artery velocity become more important in AMS assessment due to their simplicity and noninvasive nature.So,in present paper,the authors will summarize the relationship between physiological parameters and AMS,and discuss the existing problems and the trend of development for further improvement.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2013年第9期777-780,共4页
Medical Journal of Chinese People's Liberation Army
基金
国家卫生部行业专项基金(201002012)~~
关键词
高原病
心排血量
心率
血压
altitude sickness
cardiac output
heart rate
blood pressure