High-altitude pulmonary edema (HAPE) is a noncardiogenic form of pulmonary edema, which often occurs in those who enter the plateau for the first time or re-enter the plateau. When people quickly enter the area with an altitude of more than 3000 m, but cannot adapt to the altitude hypobaric hypoxia environment, resulting in abnormal pulmonary function and complications. 1,2 Early symptoms of HAPE include cough, dyspnea and decreased motor ability. Gradually, cough worsens, breathing becomes difficult to rest and even hard to breathe. 3,4 The development of HAPE has been associated with rate of ascent, high altitude, importantly, individual susceptibility are the major factors that contribute to high-altitude maladies. 5 Basnyat et al reported a 5% incidence of HAPE in 228 pilgrims climbed from 2000 m to 4300 m a day at Langtang in Nepal. 6 Of the Indian soldiers transported to 3500 m in Kashmir, 5.7% will develop HAPE during flight. 7 Up to now, a larger study was to assess HAPE involved 3628 Chinese soldiers