经典型热射病与劳力型热射病生化指标与临床特征分析

Analysis of biochemical indexes and clinical characteristics of classical heat stroke and exertional heat stroke

目的:讨论经典型热射病(CHS)与劳力型热射病(EHS)生化指标与临床特征的差异。方法:选取2018年6月-2019年9月诊断的EHS患者15例与CHS患者16例,比较两组患者生化指标水平及临床特征差异。结果:EHS组血小板(PLT)、血磷、血钠及血肌酐(Cr)水平均低于CHS组,肌酸激酶同工酶(CK-MB)水平高于EHS组,差异有统计学意义(P<0.05)。EHS与CHS均表现为肝肾功能损伤、横纹肌溶解等,且EHS组较CHS组更重。EHS组年龄小于CHS组、男性多见,体温更容易≥40℃,意识障碍及多器官功能障碍综合征(MODS)更常见。结论:EHS组多为壮年,无基础疾病,对家庭及社会影响、损失更大,更应该引起重视。

Objective:To discuss the differences of biochemical indexes and clinical features between classical heat stroke(CHS)and exertional heat stroke(EHS).Methods:From June 2018 to September 2019,15 patients with EHS and 16 patients with CHS were selected.We compared the differences of biochemical indexes and clinical characteristics between the two groups.Results:In the EHS group,the levels of PLT,serum phosphorus,serum sodium and serum creatinine were lower than those in the CHS group,and the levels of CK-MB were higher than those in the EHS group,the difference was statistically significant(P<0.05).Both EHS and CHS showed liver and kidney function damage,rhabdomyolysis and so on,and EHS group was more severe than CHS group.The age of EHS group was younger than that of CHS group,and male was more common,Body temperature was more likely to be more than 40℃,disturbance of consciousness and MODS were more common.Conclusion:Most of the patients in the EHS group are in their prime of life and have no basic diseases,which have greater impact on family and society,and they should be paid more attention to.