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专家共识:热射病的规范化诊断与治疗

Expert consensus on standardized diagnosis and treatment for heat stroke.

出版信息

Mil Med Res. 2016 Jan 6;3:1. doi: 10.1186/s40779-015-0056-z. eCollection 2016.

DOI:10.1186/s40779-015-0056-z
PMID:26744628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4704265/
Abstract

Heat stroke is a life-threatening disease characterized clinically by central nervous system dysfunction and severe hyperthermia (core temperature rises to higher than 40 °C). The unchecked rise of body core temperature overwhelms intrinsic or extrinsic heat generation mechanism, thus overwhelms homoeostatic thermoregulation. Hyperthermia causes cellular and organ dysfunction with progressive exacerbation resulting in multi-organ failure and death. Rapid cooling to reduce core temperatureas quickly as possible is the primary and most effective treatment, as it has been shown that the major determinant of outcome in heatstroke is the degree and duration of hyperthermia. If suppression of body temperature is delayed, the fatality rate will be elevated. This is a guideline for the management of heat stroke, developed by the People's Liberation Army Professional Committee of Critical Care Medicine lauched in June 2006. This is the first and origianl guideline for heat stroke in Chinese army and is expected to be properly used in daily clinial practice.

摘要

热射病是一种临床以中枢神经系统功能障碍和严重高热(核心温度升至 40°C 以上)为特征的致命性疾病。失控的体温升高会使内在或外在的产热机制不堪重负,从而破坏体温的内稳调节。高热导致细胞和器官功能障碍,随着病情进展,最终导致多器官功能衰竭和死亡。快速降温以尽快降低核心体温是主要且最有效的治疗方法,因为已经表明,热射病的预后的主要决定因素是高热的程度和持续时间。如果体温抑制延迟,死亡率将会升高。这是 2006 年 6 月解放军重症医学专业委员会制定的热射病管理指南。这是中国军队的第一个也是原始的热射病指南,预计将在日常临床实践中得到正确应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5287/4704265/0a24fe9b5c8c/40779_2015_56_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5287/4704265/0a24fe9b5c8c/40779_2015_56_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5287/4704265/0a24fe9b5c8c/40779_2015_56_Fig1_HTML.jpg

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