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本文将1962～1987年发生在喀喇昆仑山145例高原红细胞增多症(已除外高原心脏病)发病情况报告如下,供参考。 (一) 临床资料 145例均系汉族男性,年龄19～42岁,平均23岁。移居高原时间2～26个月,平均15个月。移居海拔高度:4100～5000m21例(14.5％);5010～5200m42例(29.0％);5380～5450m82例(56.5％)。红细胞6.5～9.2×10~(12)/L,平均7.55×10~(12)/L,血红蛋白200～270g/L,平均221.6g/L。临床症状主要表现为头痛、头昏、胸闷、心悸、气短、乏力、失眠、纳差、腹胀、消瘦和记忆力减退,部分病例尚有嗜睡、昏厥、视力模糊、肢体麻木和鼻衄等。体征主要为多血面容、紫绀、颜面及下肢浮肿等。97例X线胸透,32例(33％)有不同程度改变,主要为肺动脉段突出,右心室增大或双侧心室增大。48例心电图检查,29例(60.4％)异常,主要为电轴右偏,不完全右束支传导阻滞,
This article from 1962 to 1987 in the Karakorum mountain 145 cases of high altitude polycythemia (already excluded plateau heart disease) incidence is reported below for reference. (A) Clinical data 145 cases were Han men, aged 19 to 42 years, mean 23 years. The time to migrate to the plateau 2 to 26 months, an average of 15 months. Emigration altitude: 4100 ~ 5000m21 cases (14.5%); 5010 ~ 5200m42 cases (29.0%); 5380 ~ 5450m82 cases (56.5%). Erythrocytes ranged from 6.5 to 9.2 × 10 ~ (12) / L with an average of 7.55 × 10 ~ (12) / L and hemoglobin from 200 ~ 270g / L with an average of 221.6g / L. Clinical symptoms mainly manifested as headache, dizziness, chest tightness, palpitations, shortness of breath, fatigue, insomnia, anorexia, bloating, weight loss and memory loss, in some cases there drowsiness, fainting, blurred vision, limb numbness and epistaxis. Signs are mainly multifaceted face, cyanosis, facial and lower extremity edema. 97 cases of X-ray, 32 cases (33%) have varying degrees of change, mainly for the prominent pulmonary artery segment, right ventricular enlargement or bilateral ventricular enlargement. 48 cases of ECG, 29 cases (60.4%) anomalies, mainly right axis deviation, incomplete right bundle branch block,