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[热相关疾病的后遗症]

[Sequelae secondary to heat-related illness].

作者信息

Nakamura Shunsuke

机构信息

Department of Emergency and Critical Care Medicine, Showa University School of Medicine.

出版信息

Nihon Rinsho. 2012 Jun;70(6):969-74.

Abstract

Some patients with heatstroke suffer neurological sequelae. The incidence was 2.2 % in patients with heat-related illness in an analysis of the medical data from the Heatstroke STUDY 2006, the Heatstroke STUDY 2008 and the Heatstroke STUDY 2010, which were carried out by the Heatstroke Surveillance Committee of the Japanese Association for Acute Medicine (JAAM). Heatstroke patients who arrived at the hospital presenting with severe disturbance of consciousness, a higher body temperature or low BE values were more likely to experience central nervous system sequelae, and they were treated for a longer cooling time to achieve the target temperature. It is therefore important to provide aggressive cooling and intensive care as rapidly as possible in order to avoid the occurrence of the neurological sequelae of heatstroke.

摘要

一些中暑患者会出现神经后遗症。在对日本急性医学协会(JAAM)中暑监测委员会开展的2006年中暑研究、2008年中暑研究和2010年中暑研究的医学数据进行分析时发现,中暑相关疾病患者的发病率为2.2%。入院时出现严重意识障碍、体温较高或碱剩余值较低的中暑患者更有可能出现中枢神经系统后遗症,并且为达到目标体温,他们接受降温治疗的时间更长。因此,为避免中暑神经后遗症的发生,尽快提供积极的降温及重症监护很重要。

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