摘要
1 概述热射病(heat stroke, HS)即重症中暑,是由于暴露在高温高湿环境中导致机体核心温度迅速升高,超过40℃,伴有皮肤灼热、意识障碍(如谵妄、惊厥、昏迷)等多器官系统损伤的严重临床综合征[1]。根据有无剧烈运动史可分为劳力性热射病和经典型热射病[2],其中劳力性热射病患者青壮年居多,经典型热射病患者以老年人为主[3]。近年来,对热射病的理解不再是单纯的认为热射病是体温升高和脱水等直接因素造成的机体器官功能障碍。
Heat stroke(HS) is a common life-threatening heat related illness. HS patients with multiple organ dysfunction syndrome(MODS) is associated with heat stroke related systemic inflammatory response syndrome(SIRS). HS related SIRS plays an important role in the whole pathophysiological process, impacting the prognosis of patients, but the domestic treatment of heat stroke pays more attention to the treatment of MODS, HS related SIRS has not yet aroused the attention of the clinicians. This paper will review the latest progress in the mechanism research and the treatment of HS related SIRS, to provide guidance for future research and provide new ideas for the diagnosis and treatment of heat stroke related SIRS.
作者
于超平
李俊杰
尹文
YU Chaoping;LI Junjie;YIN Wen
出处
《临床急诊杂志》
CAS
2021年第4期287-291,共5页
Journal of Clinical Emergency
基金
军队后勤科研(No:AWS14C003-01)
西京医院学科助推(No:XJZT19MDT08)。
关键词
热射病
系统性炎症反应综合征
治疗
heat stroke
systemic inflammatory response syndrome
treatment
