Acute mountain sickness (AMS) is a dangerous hypoxic illness that can affect humans who rapidly reach a high altitude above 3000 m. The study was conducted to investigate the changes of cytokines in high altitude injury, and as the prevention drug of acute mountain illness, how the acetazolamide influenced the cytokines in rats exposed to high altitude hypoxia environment. Wistar rats were divided into control (Control), high altitude hypoxia (HH), and high altitude hypoxia + acetazolamide (22.33mg·kg-1, Bid) (HA) group. The rats were acute exposed to high altitude at 4300 m for 3 days. The rats in the HA group were given acetazolamide in intragastric administration way. The other rats were given equal volume saline. The results showed that high altitude hypoxia caused the enlargement of heart, liver and lung damage. Supplementation with acetazolamide significantly alleviated hypoxia-caused damage to the main organs. Compared with the HH group, the Biochemical and blood gas indicators of the HA group changed little difference, while some cytokines have significantly changed, such as activin A, ICAM-1, IL-1 alpha, IL-2, L-selectin, MCP-1, MIP-3 alpha and TIMP-1. Then, the protein and mRNA content of pro-inflammatory cytokines MCP-1, IL-1β, TNF-α, IFN-γ in rat lung were detected. Our study demonstrated that the high altitude environment affected the body's Physiological and Biochemical Parameters, while effect of acetazolamide did not change the body's Physiological and Biochemical Parameters of the hypoxia rats. This study found that acetazolamide could decrease the content of MCP-1, IL-1β, TNF-α, IFN-γ in rat lungs, and the lung injury in the HA group reduced. The mechanism of acetazolamide might be related to changes in cytokine content. The reducing of the pro-inflammatory cytokines in rat lung might be help for against the acute mountain sickness.