Source record CMC Political Work Department · 2026-07-12

High-Altitude Garrison Training: Guard Against Pulmonary Embolism

高原驻训，谨防肺栓塞

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Desk	China Desk
Publishing institution	CMC Political Work Department
Source outlet	PLA Daily (解放军报) (pla_daily)
Source language	zh-Hans — an attribute of the source, not of this record
Source-stated publication date	2026-07-12
Original URL	http://www.81.cn/yw_208727/16473224.html
Collected at	2026-07-12 14:02:37 — collection metadata, not a publication time
Content fingerprint	1361022803ade813813dab6400dfd30391e8c5fd11e8388227a80e75d0e51914 — taken when the record was captured, over the stored original title and text
Collection run	86
Analysis model	claude-sonnet-4-6
Prompt version	v1

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上个月，一名在高原驻训的战士被紧急转运到我们所在的陆军军医大学西南医院。入院时，他感到胸闷、呼吸困难，血氧饱和度偏低。经CT血管造影检查发现，血栓堵塞了肺部主要血管，确诊为急性肺栓塞。经过及时的溶栓治疗，该战士已脱离危险。近年来，我们遇到的高原相关肺栓塞病例逐渐增多，由于其症状与高原肺水肿、感冒等相似，易被误诊。高原肺栓塞并非罕见病，却是威胁官兵健康的“沉默炸弹”。简单说，肺栓塞就是身体其他部位形成的血栓“跑”到肺部，堵住了肺动脉。血栓大多来自下肢深静脉，当血液流动缓慢、变得黏稠时，就容易在腿部血管里“结块”，“结块”一旦脱落随血流进入肺循环，就会造成肺栓塞，严重时可致猝死。高原环境特殊，可能会加速血栓形成。高原空气稀薄，机体为代偿会生成更多红细胞，使血液变得黏稠、血流速度减慢；低温会使血管收缩，进一步减缓血流，增加血栓风险。高原气候干燥，会使呼吸加快、水分丢失增多，若不及时补水，血液黏稠度会进一步升高。研究表明，高原地区静脉血栓发生率是平原地区的30倍以上。肺栓塞的症状有时不典型，容易被误认为高原反应或肺水肿。一旦出现以下情况，须高度重视：不明原因的呼吸困难、气短，活动后加重；胸痛，吸气时加重，像针扎一样；咯血，痰中带血丝；心跳加快、头晕甚至晕厥；单侧小腿肿胀、疼痛、按压痛（提示下肢可能有血栓）。如果在高原上出现上述症状，不要单纯以为是累了或感冒，应立即报告军医，尽快做血氧监测和体格检查。早期诊断，是救治的关键。科学预防肺栓塞，重在平时。多喝一杯水、多活动几分钟、多留意身体发出的异常信号，就可能避免肺栓塞发生。建议战友们在高原驻训期间，记住以下4个字—— “水”。摄入水分充足，血液才不黏稠。建议大家主动足量补水，每日饮水量保持在3升左右，不要等渴了再喝；补水时少量多次，以白开水或淡盐水为佳。 “动”。久坐不动会导致下肢肌肉泵作用减弱，血液淤滞。建议大家每静坐1小时，站起来活动3~5分钟，可以做勾脚、踮脚尖、原地踏步等动作。睡觉时还可抬高下肢，促进血液回流。条件允许时，每日进行适度有氧训练，激活小腿肌肉泵。 “暖”。高原昼夜温差大，大家要注意保暖，尤其注意腿部和足部保暖；夜间休息时可用热水袋（注意防烫伤）温暖下肢。 “查”。既往有血栓史、下肢外伤或手术史、肥胖、红细胞增多症的人群，属于肺栓塞的高危人群，进驻高原前应进行下肢血管超声检查，必要时在军医指导下穿弹力袜或服用预防性抗凝药物。

Summary

Machine summary

Southwest Hospital of Army Medical University published guidance last month on pulmonary embolism risk in high-altitude garrison training, prompted by the emergency transfer and treatment of a soldier who developed acute pulmonary embolism during a high-altitude rotation. The article documents a recognized and growing medical readiness problem: high-altitude environments increase venous thrombosis incidence by more than 30 times compared to lower elevations, and symptom overlap with altitude sickness and pulmonary edema creates misdiagnosis risk that delays treatment. This fits a pattern of PLA military medicine publications addressing the specific physiological costs of sustained high-altitude garrison operations, likely on the Tibetan Plateau, and provides a baseline record of how the institution is standardizing prevention and triage protocols at the unit level.

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Source text. CMC Political Work Department. "高原驻训，谨防肺栓塞." PLA Daily (解放军报), 2026-07-12. http://www.81.cn/yw_208727/16473224.html.

As held. Indo-Pacific Record, China Desk Corpus, Record 2378, Snapshot — 2026-08-26 (3,574 records).

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