Difficult Decisions at Altitude: The Management of an Acutely Dyspneic Porter at 5000 Meters

Fionn Bellis MA MBBS MRCS Dipl SEM; Richard Parris MbBCh MRCP FFAEM Dipl IMC; Douglas Thake BSc MSc; Paul Richards MBChB (Manchester) MRCGP MSc (Med Sci)(Glasgow)

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Difficult Decisions at Altitude: The Management of an Acutely Dyspneic Porter at 5000 Meters

机译：海拔高度的艰难决策：应对5000米高的急性呼吸困难搬运工

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We report a case of a porter who presented with acute dyspnea during an expedition in Nepal at 5000 m above sea level. We present the difficulties involved in making the correct diagnosis in this patient under austere conditions and discuss the difficult decisions that must be made in caring for such a patient.

机译：我们报告了一例在尼泊尔海拔5000 m的远征队中出现急性呼吸困难的搬运工。我们介绍了在严酷条件下对该患者进行正确诊断所涉及的困难，并讨论了在照顾此类患者时必须做出的艰难决定。

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来源
《Wilderness and Environmental Medicine》 |2005年第4期|p.212-218|共7页
作者
Fionn Bellis MA MBBS MRCS Dipl SEM; Richard Parris MbBCh MRCP FFAEM Dipl IMC; Douglas Thake BSc MSc; Paul Richards MBChB (Manchester) MRCGP MSc (Med Sci)(Glasgow);
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作者单位

From the Emergency Department, Derriford Hospital, Plymouth, UK (Dr Bellis);

Royal Bolton Hospital, Farnworth, Bolton, UK (Dr Parris);

School of Science and the Environment, Coventry University, Coventry, UK (Dr Thake);

and Brentwood, Billericay & Wickford PCT, The Surgery, Wickford, Essex, UK (Dr Richards);

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原文格式 PDF
正文语种 eng
中图分类
关键词
altitude, expedition medicine, dyspnea, ethics, alveolar gas equation;

机译：海拔;远征医学;呼吸困难;伦理学;肺泡气体方程;

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1. Evaluation and management of the acutely dyspneic patient: The role of biomarkers. [J] . Harrison A, Amundson S The American journal of emergency medicine . 2005,第3期

机译：急性呼吸困难患者的评估和管理：生物标志物的作用。
2. Oxygen delivery at sea level and altitude (after slow ascent to 5000 meters), at rest and in mild exercise. [J] . Wolff CB, Thake CD, Truesdell A, Advances in Experimental Medicine and Biology . 2007,第0期

机译：在海平面和海拔高度（缓慢上升到5000米后），休息和轻度锻炼时的氧气输送。
3. A simple clinical decision tool for diagnosing acute heart failure in the undifferentiated dyspneic patient using a Bayesian approach [J] . Vandenberghe Hilde, Steinhart Brina D., Levy Philip, Clinical Biochemistry . 2015,第15期

机译：使用贝叶斯方法诊断未分化呼吸困难患者的急性心力衰竭的简单临床决策工具
4. Influence of Induced Altitude Acclimatization on Development of Acute Mountain Sickness Associated with a Subsequent Rapid Ascent to High Altitude [C] . Xiaomin Luo, Lei Wang, Lei Yang IEEE International Conference on Bioinformatics and Bioengineering . 2016

机译：诱导的海拔适应对随后快速上升到高原的急性高山病的发展的影响
5. INFLUENCE OF MODERATE ALTITUDE RESIDENCE (2200 METERS) ON THE ACUTE MOUNTAIN SICKNESS AND EXERCISE RESPONSE DURING EARLY HYPOBARIC HYPOXIA (4270 METERS). [D] . MARESH, CARL MARK. 1981

机译：中低海拔（2200米）对早期低氧性低氧（4270米）急性山病和运动反应的影响。
6. Comparison between Emergency Severity Index plus peak flow meter and Emergency Severity Index in the dyspneic patients with chronic obstructive pulmonary disease: A randomized clinical trial [O] . Mahin Hamechizfahm Roudi, Javad Malekzadeh, Mohsen Ebrahimi, 2019

机译：呼吸困难慢性阻塞性肺疾病患者的紧急程度指数加峰值流量计与紧急程度指数的比较：一项随机临床试验
7. Comparison between Emergency Severity Index plus peak flow meter and Emergency Severity Index in the dyspneic patients with chronic obstructive pulmonary disease: A randomized clinical trial [O] . Mahin Hamechizfahm Roudi, Javad Malekzadeh, Mohsen Ebrahimi, 2019

机译：慢性阻塞性肺病呼吸困难患者的紧急严重程度指数加峰流量计和紧急严重程度指数的比较：随机临床试验
8. Effects of Propranolol on Acute Mountain Sickness (AMS) and Well-Being at 4,300 Meters of Altitude. [R] . Fulco, C. S., Rock, P. B., Reeves, J. T., 1989

机译：普萘洛尔对4,300米海拔高度急性山地病（ams）和健康的影响。

Difficult Decisions at Altitude: The Management of an Acutely Dyspneic Porter at 5000 Meters

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