Altitude sickness - A pathological condition that develops due to the low partial pressure of atmospheric gases, mainly oxygen in high altitude. There are acute, subacute and chronic forms of altitude sickness. The first two forms at altitudes of 2,500 to 4,000 m recorded in 10 - 20% and above 4500 m - almost all ascending the mountains. Chronic mountain sickness occurs in Aboriginal mountains (at altitudes typically above 3000 m) and vstrechaetsyazametno less.
Low partial pressure of oxygen in the atmosphere gives gas exchange, membrane technology research causing tissue hypoxia, leading to dysfunction of organs, including the brain, increased vascular permeability of membranes, changes in water and electrolyte balance in the body with delayed fluid.
The clinical membrane technology research picture of acute and subacute forms of altitude sickness is basically similar, but the acute form symptoms grow rapidly (patients may require emergency assistance) and subacute - gradually and kept relatively long (more than 7 - 10 days). There have headaches, nausea and sometimes vomiting, fatigue, shortness of breath, palpitation, flatulence. Patients apathetic (sometimes broken), poor sleep (sleep membrane technology research fitful, restless). Observed diffuse cyanosis, increasing the frequency and depth of breathing, increased heart rate, decreased blood pressure. At an altitude of 5000 m can be loss of consciousness. The ECG - Electrical axis deviation right or flatness wave inversion T. In the blood determined membrane technology research polycythemia, hiperhemohlobinemiya, lower reserve alkalinity.
As independent forms of pathology isolated alpine alpine acute pulmonary edema and acute brain swelling alpine. The first occurs in 1-4 days after a rapid rise to a height of over 2700 m and occurs first headache and increasing dyspnea tachypnea by type ("breathing membrane technology research Driven dog"), followed by coughing, then the advent of frothy bloody sputum, klokochuscheho breathing. On examination revealed membrane technology research cyanosis of the lips, tachycardia observed in the lungs - wet small-and medium rales. A few hours later may develop coma. The body temperature is normal or low-grade; levels - moderate leukocytosis, a slight increase in ESR. Highland acute cerebral edema manifested membrane technology research growing headache, gait disturbance, confusion membrane technology research and hallucinations, nausea, vomiting, oliguria, dyspnea and palpitations, depression, then inhibition, smenyayuscheysya comma.
Chronic mountain sickness develops gradually and evident decrease in efficiency, shortness of breath, coughing (sometimes hemoptysis), dizziness, fainting. A person gets sick cherry cyanotic color. Often found "drum your fingers." Pulse accelerated, membrane technology research extended membrane technology research beyond the heart to the right. Blood analysis revealed polycythemia. The most common complications are congestive heart failure, cardiac arrhythmia, thromboembolism.
Treatment of acute mountain sickness mild, usually do not need, with severe altitude sickness treatment begins on the ground with immediate oxygen therapy, and in mountainous acute swelling of the brain or lungs as with intravenous administration of small doses of fast-acting diuretics (furosemide 2 mg ) and receiving diakarb inside (250 mg every 4 hours), use lower pressure in the pulmonary membrane technology research artery calcium antagonists (nifedipine), membrane technology research swelling of the brain - glucocorticoids (dexamethasone), if necessary suck secret of the trachea and bronchi, patients urgently evacuated in the area located below 2000 m With an average altitude sickness severity limit the amount of accepted fluid, salt and eating foods that contribute to bloating. Recommended breathing exercises (with moderately elevated resistance exhalation), membrane technology research if necessary - inhalation of oxygen. If the symptoms of altitude sickness do not regress in the next 3 days, to remain in the mountains contraindicated. In chronic mountain sickness with pulmonary hypertension used calcium antagonists, and in congestive failure - diuretics. membrane technology research
Prevention of acute mountain sickness is a medical screening of persons who are sent into the mountains, their previous physical training, special training in hipobaricheskih chambers. Recommended gradual (phased) climbing a mountain and limit physical activity that improves alpine adaptation.
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