18例热射病诊疗分析
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摘要
收集并分析2018年7月至2018年8月就诊于我院急诊科的18例热射病患者的临床资料。热射病起病急骤且病情危重,应尽早诊断并系统治疗;尽快降低患者核心体温,出现严重并发症时要及时对症处理。
引文
[1]宋青,于代华,马壮.热射病规范化诊断与治疗专家共识(草案)[J].解放军医学杂志,2015,40(1):1-7.DOI:10.11855/j.issn.0577-7402.2015.01.01.
[2]王玲,王蓓蓓,姜腾轩,等.蛋白C、N末端前体脑钠肽水平与热射病患者危重程度相关性分析[J].创伤与急危重病医学,2016,4(5):280-282.DOI:10.16048/j.issn.2095-5561.2016.05.07.
[3]王洪萍,莎宁,秦秀菊,等.热射病的发病学特点及流行病学进展[J].中华危重病急救医学,2015,27(8):702-704.DOI:10.3760/cma.j.issn.2095-4352.2015.08.018.
[4]ZELLER L,NOVACK V,BARSKI L,et al.Exertional heatstroke:clinical characteristics,diagnostic and therapeutic considerations[J].Eur J Inter Med,2011,22(3):296-299.DOI:10.1016/j.ejim.2010.12.013.
[5]MISSET B,DE JONGHE B,BASTUJI-GARIN S,et al.Mortality of patients with heatstroke admitted to intensive care units during the 2003 heat wave in France:a national multiple-center risk-factor study[J].Crit Care Med,2006,34(4):1087-1092.DOI:10.1097/01.CCM.0000206469.33615.02.
[6]YANG M,LI Z,ZHAO Y,et al.Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke[J].Medicine,2017,96(44):e8417.DOI:10.1097/MD.0000000000008417.
[7]周飞虎,宋青,潘亮,等.持续血液净化在热射病合并多器官功能障碍综合征治疗中应用[J].生物医学工程与临床,2010,14(2):114-117.DOI:10.3969/j.issn.1009-7090.2010.02-006.
[8]李世军,许书添,高二志,等.横纹肌溶解症相关急性肾损伤[J].肾脏病与透析肾移植杂志,2016,25(1):14-19.DOI:10.3969/cndt.j.issn.1006-298X.2016.01.003.
[9]CHEN GM,CHEN YH,ZHANG W,et al.Therapy of severe heatshock in combination with multiple organ dysfunction with continuous renal replacement therapy:a clinical study[J].Medicine,2015,94(31):e1212.DOI:10.1097/MD.0000000000001212.
[10]RAJ VMS,ALLADIN A,PFEIFFER B,et al.Therapeutic plasma exchange in the treatment of exertional heat stroke and multiorgan failure[J].Pediatr Nephrol,2013,28(6):971-974.DOI:10.1007/s00467-013-2409-8.
[11]DAVIS BC,TILLMAN H,CHUNG RT,et al.Heat stroke leading to acute liver injury&failure:a case series from the Acute Liver Failure Study Group[J].Liver Inter,2017,37(4):509-513.DOI:10.1111/liv.13373.
[2]王玲,王蓓蓓,姜腾轩,等.蛋白C、N末端前体脑钠肽水平与热射病患者危重程度相关性分析[J].创伤与急危重病医学,2016,4(5):280-282.DOI:10.16048/j.issn.2095-5561.2016.05.07.
[3]王洪萍,莎宁,秦秀菊,等.热射病的发病学特点及流行病学进展[J].中华危重病急救医学,2015,27(8):702-704.DOI:10.3760/cma.j.issn.2095-4352.2015.08.018.
[4]ZELLER L,NOVACK V,BARSKI L,et al.Exertional heatstroke:clinical characteristics,diagnostic and therapeutic considerations[J].Eur J Inter Med,2011,22(3):296-299.DOI:10.1016/j.ejim.2010.12.013.
[5]MISSET B,DE JONGHE B,BASTUJI-GARIN S,et al.Mortality of patients with heatstroke admitted to intensive care units during the 2003 heat wave in France:a national multiple-center risk-factor study[J].Crit Care Med,2006,34(4):1087-1092.DOI:10.1097/01.CCM.0000206469.33615.02.
[6]YANG M,LI Z,ZHAO Y,et al.Outcome and risk factors associated with extent of central nervous system injury due to exertional heat stroke[J].Medicine,2017,96(44):e8417.DOI:10.1097/MD.0000000000008417.
[7]周飞虎,宋青,潘亮,等.持续血液净化在热射病合并多器官功能障碍综合征治疗中应用[J].生物医学工程与临床,2010,14(2):114-117.DOI:10.3969/j.issn.1009-7090.2010.02-006.
[8]李世军,许书添,高二志,等.横纹肌溶解症相关急性肾损伤[J].肾脏病与透析肾移植杂志,2016,25(1):14-19.DOI:10.3969/cndt.j.issn.1006-298X.2016.01.003.
[9]CHEN GM,CHEN YH,ZHANG W,et al.Therapy of severe heatshock in combination with multiple organ dysfunction with continuous renal replacement therapy:a clinical study[J].Medicine,2015,94(31):e1212.DOI:10.1097/MD.0000000000001212.
[10]RAJ VMS,ALLADIN A,PFEIFFER B,et al.Therapeutic plasma exchange in the treatment of exertional heat stroke and multiorgan failure[J].Pediatr Nephrol,2013,28(6):971-974.DOI:10.1007/s00467-013-2409-8.
[11]DAVIS BC,TILLMAN H,CHUNG RT,et al.Heat stroke leading to acute liver injury&failure:a case series from the Acute Liver Failure Study Group[J].Liver Inter,2017,37(4):509-513.DOI:10.1111/liv.13373.