Medicina, Società e Ambiente
Malattie da altitudine
HIGH-ALTITUDE ILLNESS
GIORGIO BARTOLOZZI
Pediatra, Università di Firenze
Aprile 2008 - pagg. 239 -243
Abstract
Children less than one year old can be taken to altitudes up to 2,500 meters, like adults with
minor or medium severity heart and lung conditions. Higher altitudes can cause severe reactions,
including acute mountain sickness and pulmonary and cerebral edema. Oxygen pressure
on airplanes is the same as that found at altitudes of 1,500-2,400 meters. Children
born preterm should undergo attentive clinical and instrumental examinations before being
subjected to such conditions. Supplementary oxygen administration is necessary for preterm
infants who have had broncho-pulmonary dysplasia or other lung conditions.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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• McCullough RE, Reeves JT. Fetal growth retardation and increased infant mortality at high altitude. Arch Environ Health 1977;32:36- 9.
• Rodier PM. Environmental causes of central nervous system maldevelopment. Pediatrics 2004;113:1076-83.
• Yangzom Y, Qian L, Shan M, et al. Outcome of hospital deliveries of women living at high altitude: a study from Lhasa in Tibet. Acta Paediatr 2008;97:317-21. Rischi in aeroplano
• Muhm JM, Rock PB, Mcullin DI, et al. Effect of aircraft-cabin altitude on passenger discomfort. N Engl J Med 2007;357:18-27.
• Samuels MP. The effects of flight and altitude. Arch Dis Child 2004;89:448-55.
• Udomittipong K, Stick SM, Verheggen M, et al. Pre-flight testing of preterm infants with neonatal lung disease: a retrospective review. Thorax 2006;61:343-7.
• Miller RW. How environmental hazard in childhood have been discovered: carcinogens, teratogens, neurotoxicants, and other. Pediatrics 2004;113:945-51.
• Pollard AJ, Niermeyer S, Barry P, et al. Committee of the International Society for Mountain Medicine. ISMM Consensus Statement. Children at high altitude. Jasper Park Symposium, 12 marzo 2001.
• Woodruff TJ, Axelrad DA, Kyle AD, et al. Trends in environmentally related childhood illnesses. Pediatrics 2004;113:1133-40. Fasce di altitudine e mal di montagna
• Basnyat B, Murdoch DR. High-altitude illness. Lancet 2003;361:1967-74.
• Durmowicz AG, Noordeweir E, Nicholas R, Reeves JT. Inflammatory processes may predispose to high-altitude pulmonary edema. J Pediatr 1997;130:838-40.
• Forster P. Reproducibility of individual response to exposure to high altitude. BMJ 1984;289:1269.
• Kohlendorfer U, Kiechl S, Sperl W. Living at high altitude and risk of sudden infant death syndrome. Arch Dis Child 1998;79:506-9.
• Penaloza D, Arias-Stella J. The hearth and pulmonary circulation at high altitudes: healthy highlanders and chronic mountain sickness. Circulation 2007;115:1132-46.
• Theis MK, Honigman B, Yip R, McBride D, Houston CS, Moore LG. Acute mountain sickness in children at 2835 meters. Am J Dis Child 1993;147:143-5. Popolazioni montane e perinatologia
• Brent RL. Environmental causes of human congenital malformations: the pediatrician’s role in dealing with these complex clinical problems caused by a multiplicity of environmental and genetic factors. Pediatrics 2004; 113:957-68.
• Brent RL, Tanski S, Weitzman M. A pediatric prospective on the unique vulnerability and resilience of the embryo and the child to environmental toxicants: the importance of rigorous research concerning age and agent. Pediatrics 2004;113:935-44.
• Getts AG, Hill HF. Sudden infant death syndrome: incidence at various altitudes. Dev Med Child Neurol 1982;24:61-8.
• Kohlendorfer U, Kiechl S, Sperl W. Living at high altitude and risk of sudden infant death syndrome. Arch Dis Child 1998;79:506-9.
• McCullough RE, Reeves JT. Fetal growth retardation and increased infant mortality at high altitude. Arch Environ Health 1977;32:36- 9.
• Rodier PM. Environmental causes of central nervous system maldevelopment. Pediatrics 2004;113:1076-83.
• Yangzom Y, Qian L, Shan M, et al. Outcome of hospital deliveries of women living at high altitude: a study from Lhasa in Tibet. Acta Paediatr 2008;97:317-21. Rischi in aeroplano
• Muhm JM, Rock PB, Mcullin DI, et al. Effect of aircraft-cabin altitude on passenger discomfort. N Engl J Med 2007;357:18-27.
• Samuels MP. The effects of flight and altitude. Arch Dis Child 2004;89:448-55.
• Udomittipong K, Stick SM, Verheggen M, et al. Pre-flight testing of preterm infants with neonatal lung disease: a retrospective review. Thorax 2006;61:343-7.
Corrispondenza: bartolozzi@unifi.it