摘要
目的 探讨36例重症中暑患者的临床特点,并提出集束化治疗策略.方法 回顾性统计36例重症中暑住院患者的临床资料.将其中32例生产性中暑患者进行分组,根据高温环境中暴露时间长短分为两组,长时间暴露组（〉6 h）及短时间暴露组（〈6 h）,对两组患者临床资料进行分析.结果 36例重症中暑患者中生产性中暑占88.9%,生活性中暑占11.1%.长时间暴露组高热、昏迷、休克、低钠血症、酶谱显著升高、血肌酐升高、血小板下降发生率与短时间暴露组比较,均差异有统计学意义（P〈0.05）.结论 长时间暴露于高温环境中,多器官功能障碍发生率高.对重症中暑患者采取＂早期快速降温、早期快速扩容、早期抗凝、积极支持脏器功能等＂集束化治疗策略,可有效防治多器官功能障碍,缩短住ICU时间,改善预后.
Objective To analyze the clinical feature and care bundle treatment of severe heat stroke patients. Methods The clinical data of 36 hospitalized patients with severe heat stroke were retrospectively analysed. According to the length of exposure in the environment of high temperature, 32 occupational heat stroke patients were divided into two groups ： the long - time exposure group （ 〉 6 h ） and the short -time exposure group （ 〈6 h）. The clinical data of two groups were analyzed. Results The occupational heat stroke patients occupied 88.9% , life heat stroke patients occupied 11.1%. The incidence of high fever, coma, shock, hyponatremia, the increase of serum creatinine, thrombocytopenia and the enzyme increase were more significant in the long - time exposure group, compared with the short- time exposure group（ P 〈 0.05 ）. Conclusion The incidence of multiple organ dysfunction was higher in prolonged exposure to high temperature. The severe heat stroke patients should take bundles treatment, such as ： cooling, early and rapid expansion, antieoagulation in early phase, function support and so on, which can effectively prevent the incidence of multiple organ dysfunction, shorten ICU stay and improve the prognosis.
出处
《中国急救医学》
CAS
CSCD
北大核心
2011年第8期736-739,共4页
Chinese Journal of Critical Care Medicine
关键词
重症中暑
临床特点
集束化治疗
Severe heat stroke
Clinical features
Care bundle treatment
