High-Altitude Pulmonary Edema Combined with Spontaneous Pneumomediastinum: A Case Report

被引：0

作者：

Li, Wenzhe ^{[1
]}

Wang, Yajing ^{[2
]}

Xu, Li ^{[1
]}

Yuan, Fang ^{[1
]}

机构：

[1] Gen Hosp Xinjiang Mil Command, Dept Radiotherapy, 359 North Youhao Rd, Urumqi, Xinjiang Uygur, Peoples R China

[2] 54 Sr High Sch, Dept Chem, Urumqi, Peoples R China

来源：

CURRENT MEDICAL IMAGING | 2024年 / 20卷

关键词：

High-altitude pulmonary edema (HAPE); Spontaneous pneumomediastinum; High altitude; Cough; Computed tomography (CT); Medical treatment;

D O I：

10.2174/0115734056234694230922101747

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Background: High-altitude pulmonary edema (HAPE) is a serious life-threatening disease that occurs after rapid ascent to high altitude; its main early-stage presentations include fatigue, headache, low-grade fever, dyspnea, and cough. X-ray and computed tomography (CT) images show pulmonary shadows and patches, which may be localized (initial right lung field predomination) or generalized to the bilateral lung base.Case Presentation: In this report, we present a case of a 25-year-old man diagnosed with HAPE combined with spontaneous pneumomediastinum. After a quick descent and effective medical treatment, this patient made a full recovery. The case may provide helpful information for the prevention and treatment of this disease since an increased number of people, especially young men, currently travel and work at high altitudes.Conclusion: After accurate clinical diagnosis with the help of CT or X-ray, immediate descent and appropriate oxygen supplementation are the most effective treatments for HAPE at high altitude.

引用

页数：5

共 16 条

[1] High-altitude illness: Management approach [J].

Aksel, Gokhan ;

Corbacioglu, Seref Kerem ;

Ozen, Can .

TURKISH JOURNAL OF EMERGENCY MEDICINE, 2019, 19 (04) :121-126

[2] Differentiating COVID-19 Pneumonia From Acute Respiratory Distress Syndrome and High Altitude Pulmonary Edema Therapeutic Implications [J].

Archer, Stephen L. ;

Sharp, Willard W. ;

Weir, E. Kenneth .

CIRCULATION, 2020, 142 (02) :101-104

[3] Spontaneous Pneumomediastinum: An Extensive Workup Is Not Required [J].

Bakhos, Charles T. ;

Pupovac, Stevan S. ;

Ata, Ashar ;

Fantauzzi, John P. ;

Fabian, Thomas .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2014, 219 (04) :713-717

[4] Spontaneous pneumomediastinum: A comparative study and review of the literature [J].

Caceres, Manuel ;

Ali, Syed Z. ;

Braud, Rebecca ;

Weiman, Darryl ;

Garrett, H. Edward, Jr. .

ANNALS OF THORACIC SURGERY, 2008, 86 (03) :962-966

[5]

Cheng G-S., 2016, Medicine, DOI [10.1016/B978-1-4557-3383-5.00084-1, DOI 10.1016/B978-1-4557-3383-5.00084-1]

[6]

Gola S., 2018, MANAGEMENT HIGH ALTI, P9, DOI DOI 10.1016/B978-0-12-813999-8.00002-1

[7] High-Altitude Medicine [J].

Johnson, Nicholas J. ;

Luks, Andrew M. .

MEDICAL CLINICS OF NORTH AMERICA, 2016, 100 (02) :357-+

[8]

Luks A.M., 2021, Ward, V6th ed., DOI [10.1201/9780429444333, DOI 10.1201/9780429444333]

[9] Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Acute Altitude Illness: 2019 Update [J].

Luks, Andrew M. ;

Auerbach, Paul S. ;

Freer, Luanne ;

Grissom, Colin K. ;

Keyes, Linda E. ;

McIntosh, Scott E. ;

Rodway, George W. ;

Schoene, Robert B. ;

Zafren, Ken ;

Hackett, Peter H. .

WILDERNESS & ENVIRONMENTAL MEDICINE, 2019, 30 (04) :S3-S18

[10] A narrative review of primary spontaneous pneumomediastinum: a poorly understood and resource-intensive problem [J].

Morgan, Clinton T. ;

Maloney, James D. ;

Decamp, Malcolm M. ;

McCarthy, Daniel P. .

JOURNAL OF THORACIC DISEASE, 2021, 13 (06) :3721-+

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