期刊文献+

重症中暑住院病人流行病学调查与分析 预览 被引量:52

Epidemiological study and key-point analysis of severe heatstroke patients
在线阅读 下载PDF
收藏 分享 导出
摘要 目的 分析部队医院重症中暑住院病人的发病原因、类型、合并重要脏器功能损害以及死亡情况。方法 回顾性统计8所部队医院1988年1月~2005年3月共117例中暑住院病人的临床资料。结果 117例中暑病人中有110例(94.02%)发生在军事训练中,其中11例(10%)训练前或训练中合并有轻微不适;重症中暑中热射病、热痉挛、热衰竭的发生率分别为43.62%、42.55%、13.83%,三者的死亡率分别为9.76%、5%、23%;重症中暑合并肝功能损害者占31.9%,合并中枢神经功能损害者占14.9%,合并多器官功能衰竭(MOF)者占21.3%;不合并重要脏器功能损害的病人全部存活,合并单个重要脏器功能损害者死亡率为3.6%,合并MOF者死亡率为35%。结论 尝试建立中暑军事化预报指数对科学指导基层部队训练可能有益;中暑救治过程中除了降低中心体温这一“第一关键点”外,对于合并多个重要脏器功能损害、死亡率高的病人治疗上可能还存在“第二关键点”;当前部队中暑医疗救助体系还需要进一步完善。 Objective To investigate and analyze the cause of the illness, types and conditions combined with dysfunction of important organs and death of severe heatstroke patients in military hospitals in southern China. Methods 117 cases of heatstroke patients from Jan 1988 to Mar 2005 admitted to 8 military hospitals were retrospectively analyzed. Results 94.02% of the cases occurred during military drill; 10% of patients complained of slight discomfort before or during the drill; the incidence of thermoplegia, heat cramp and heat exhaustion were 43. 26%, 42. 55% and 13.86%, respectively, in severe heatstroke, and the respective death rate was 9. 76%, 5% and 23%. The incidence of severe heatstroke combined with liver dysfunction was 31.9%, with central nervous impairment was 14. 9%, and with MOF was 21.3%. All patients survived when no organ dysfunction occurred; the death rate in those with single organ dysfunction was 3. 6 %, while it was 35 % in MOF patients. Conclusion An attempt to set up a predicting index of heatstroke might be beneficial for scientifically supervising the military drill for the servicemerL Reduction of the core temperature is the"the first critical point"in the treatment. Other "critical point" in the treatment may also be emphasized for those with MOF. The present therapeutic system for heat stroke as executed in the military needs to be perfected.
作者 苏磊 郭振辉 钱洪津 Su Eel, Guo Zhenhui, Qian Hongiin. (First-aid Center for Severe Cases, Guangzhou General Hospital of Guangzhou Command, Guangzhou 510010, China)
出处 《解放军医学杂志》 CAS CSCD 北大核心 2006年第9期 909-910,共2页 Medical Journal of Chinese People's Liberation Army
关键词 中暑 日射病 流行病学 heat stroke sunstroke epidemiology
  • 相关文献

参考文献7

二级参考文献6

共引文献28

同被引文献522

引证文献52

二级引证文献234

投稿分析
职称考试

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈