Casa Douglas J, Armstrong Lawrence E, Kenny Glen P, O'Connor Francis G, Huggins Robert A
Korey Stringer Institute, Department of Kinesiology, University of Connecticut, 2095 Hillside Road, U-1110, Storrs, CT 06269-1110, USA.
Curr Sports Med Rep. 2012 May-Jun;11(3):115-23. doi: 10.1249/JSR.0b013e31825615cc.
When athletes, warfighters, and laborers perform intense exercise in the heat, the risk of exertional heat stroke (EHS) is ever present. The recent data regarding the fatalities due to EHS within the confines of organized American sport are not promising: during the past 35 years, the highest number of deaths in a 5-year period occurred from 2005 to 2009. This reminds us that, regardless of the advancements of knowledge in the area of EHS prevention, recognition, and treatment, knowledge has not been translated into practice. This article addresses important issues related to EHS cause and care. We focus on the predisposing factors, errors in care, physiology of cold water immersion, and return-to-play or duty considerations.
当运动员、战士和劳动者在高温环境下进行高强度运动时，中暑性热射病（EHS）的风险始终存在。近期有关美国有组织体育赛事中EHS致死情况的数据不容乐观：在过去35年里，2005年至2009年这5年期间的死亡人数最多。这提醒我们，尽管在EHS预防、识别和治疗领域知识有所进步，但这些知识并未转化为实际行动。本文探讨了与EHS病因及护理相关的重要问题。我们重点关注易感因素、护理失误、冷水浸泡的生理机制以及恢复比赛或重返岗位的考量因素。
