急性高山病 AMS 診斷標準修正, 剔除失眠
Wilderness medicine at high altitude: recent developments in the field 2015 Sep 24 AMS= acute mountain sickness 急性高山病 Diagnosis of AMS Lake Louise Scoring system 路易斯湖評分系統 LLS LLS原始設計的目的是為了做研究, 後來變成通用的AMS 診斷工具, 在LLS中. 必須先有頭痛, 再加上以下任一症狀: 腸胃道症狀, 疲憊虛弱, 頭暈, 睡眠品質不佳. 頭痛是診斷AMS的鑑別特徵, 在海拔 4500 公尺以上 100% 會有頭痛. 在一項德瑪峰的研究報告指出, 87% 健行者出現頭痛症狀, 在這些頭痛患者中, 70% 合併其他症狀, 符合 AMS 診斷. 這表示頭痛患者中有 30% 與 AMS 無關, 所以用頭痛作為診斷AMS的必須條件似乎有問題, 其他高海拔地區頭痛原因包括: 脫水, 偏頭痛, 壓力緊張型頭痛, 鼻竇炎, 曝曬引起前額肌肉收縮等等. Despite its development as a research tool, the LLS is widely used to diagnose AMS. Headache must be present for the diagnosis of AMS with at least one other symptom (gastrointestinal symptoms, fatigue and/or weakness, dizziness, difficulty sleeping). Each symptom is scored from 0 (none) to 3 (severe). A total score of 3 or more in the presence of a headache is diagnostic for AMS. The use of this score has been validated in a recent normobaric hypoxia chamber study. Much has been published about the uti...