OʼConnor Francis G, Heled Yuval, Deuster Patricia A
Uniformed Services University of the Health Sciences, Bethesda, MD.
Curr Sports Med Rep. 2018 Jul;17(7):244-248. doi: 10.1249/JSR.0000000000000502.
Exertional heat stroke (EHS) is a leading cause of preventable morbidity and mortality among both athletes and warfighters. Since current evidence suggests that the history of a prior event is an important risk factor for an EHS event, sports medicine providers can find post-EHS return to play/duty (RTP/D) decisions challenging. Heat tolerance testing is a tool that can help with such decisions by exposing the subject to a given heat load under controlled conditions to assess the presence or absence of heat tolerance. This special communication explores the challenge of the RTP/D after an EHS event and the potential role of heat tolerance testing in making this clinical decision.
劳力性热射病（EHS）是运动员和战士中可预防的发病和死亡的主要原因。由于目前的证据表明既往有过EHS病史是发生EHS事件的一个重要风险因素，运动医学从业者在做出EHS后恢复训练/执勤（RTP/D）的决定时会面临挑战。热耐受测试是一种工具，通过在受控条件下让受试者暴露于给定的热负荷中以评估是否存在热耐受，从而有助于做出此类决定。本专题通讯探讨了EHS事件后RTP/D面临的挑战以及热耐受测试在做出这一临床决策中的潜在作用。
