Terminology and classification of acute mountain sickness.

Terminology and classification of acute mountain sickness.
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急性高山病的术语和分类。

DOI:
10.1136/bmj.285.6343.720
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发表时间:
1982
影响因子:
--
通讯作者:
J. Dickinson
J. Dickinson
中科院分区:
医学1区
文献类型:
--
作者:
J. Dickinson

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关于急性高山病还有几个未解决的问题。登山者和徒步旅行者想知道如何识别病例,如何评估其严重程度,以及如何采取行动避免死亡。他们还需要关于预防的明确指导,这是一个在最近的文章之后激发了许多通信的主题。1 2被要求就这些问题提供建议的医学科学家对气候变化的性质和导致急性高山病各种表现的生理紊乱有许多迷人的困惑。这些问题的解决可能有助于只有一个合乎逻辑的术语和急性高山病的分类协议。在我看来,目前使用的许多术语(表)似乎预先判断未解决的病理生理学问题,使不合格人员的培训变得困难,
There are several unsolved questions about acute mountain sickness. Climbers and trekkers want to know how to recognise cases, how to assess their severity, and how to act to avoid deaths. They also need clear guidance about prevention, a subject that has stimulated much correspondence after recent articles.1 2 Medical scientists who are called on to advise on these matters have many fascinating puzzles about the nature ofacclimatisation and the disordered physiology that leads to the various manifestations of acute mountain sickness. Solution of these problems could be helped only by agreement on a logical terminology and classification of acute mountain sickness. In my opinion many of the terms currently used (table) seem to prejudge unsolved pathophysiological questions, render the training of unqualified personnel difficult, and are,