ヒマラヤ5000mで治療した高地肺水腫の1例

Abstract

1990年京都大学シシャパンマ医学学術登山隊(KUMREX'90)ベースキャンプ(Pb=410mmHg, 地図上高度5020m, 以下BC)で高地肺水腫􀀀 (High Altitude Pulmonary Ederna=HAPE)を発症した西独隊シェルパの初期治療を行い, 早期に低所へ移送することで無事救命できた. HAPE発症直後と考えられる時期の動脈血酸素飽和度(SpO2)測定を行うとともに, 血液検体を持ち帰り生化学検査等を行ったので報告する.

We treated 43-year-old Sherpa mountaineer who suffered from early phase of High Altitude Pulmonary Edema (HAPE) at Xixabangma Base Camp (BC). After successful 5 hours initial treatment with oxygen and furosemide iv, he was transfered to Zangmu by car and he recovered rapidly. During the treatment at BC, We measured continuous SpO2 and got blood samples of this early phase HAPE and here we showed the results.