热射病并发多脏器功能不全2例报道  

Heatstroke complicated multiple organ dysfunction syndrome in two cases report

作　　者：陈瑶[1] 宋青[1] 康红军[1] 潘亮[1] 刘辉[1] 谢菲[1] 胡新[1] 

机构地区：[1]解放军总医院重症医学科,北京100853

出　　处：《中国当代医药》2012年第13期140-142,共3页China Modern Medicine

摘　　要：本文报道2例运用综合治疗手段抢救成功的已发生多器官功能不全(MODS)的热射病病例,复习相关文献,探究热射病(HS)的临床表现、早期综合治疗方案及预后影响因素。应用"早降温、早插管、早扩容、早抗凝、早血滤、早镇静、早肠内、早免疫调理、禁手术"原则进行救治,2例患者均成功存活,病例2遗留有神经系统功能障碍,意识情况较发病时有所好转。热射病是一种危及生命的急症,早期综合救治患者对提高救治成功率、改善预后有益。This thesis reports two cases of heatstroke with multiple organ dysfunction syndrome （MODS）,who were successfully resuiing by the comprehensive treatment strategies.To explore the clinical features of heatstroke,the early comprehensive treatment strategies,and the impact factors for prognosis.According to the principles of ＂early cooling,early intubation,early expansion,early anticoagulation,early blood filtration,early sedation,early enteral nutrition,early immune conditioning,and prohibited operation＂,the two patients were successful alive,the second case was left over with neuro-functional disorder.Heatstroke is a life threatening disease.Treating patients with comprehensive treatment strategies as early as possible is important for improving treatment success rate and prognosis.

关 键 词：热射病 综合治疗 多脏器功能不全 早期 

分 类 号：R594.12[医药卫生—内科学]