重症中暑并发肝损害的临床分析  

Clinical analysis of severe heatstroke complicated with liver damage

作　　者：张立新[1] 陶红[2] 李景荣[1] 

机构地区：[1]安徽医科大学第二附属医院急诊内科,合肥230601 [2]合肥市第一人民医院急诊内科,合肥230061

出　　处：《安徽医科大学学报》2014年第12期1822-1824,共3页Acta Universitatis Medicinalis Anhui

摘　　要：43例重症中暑患者,按有无肝功能损害分为研究组及对照组,对其临床资料、实验室检查、辅助检查及治疗情况进行分析研究。28例肝损害病例中,共2例出现急性肝功能衰竭伴弥散性血管内凝血。单因素分析结果显示:体温、肌酸激酶、尿素氮、血钠、病程的长短与重症中暑并发急性肝损害密切相关(P<0.05);与发病年龄、肌酐、血钾、血白细胞计数无关,其中最敏感的危险因素为体温,其次分别为血钠及肌酸激酶水平。中暑合并肝损害患者经综合性治疗,平均住院(15.6±5.6)d,治愈或好转患者25例,死亡3例,有效率89.3%。The clinical data,laboratory examination,auxiliary examination and treatment of 43 cases of severe heatstroke patients were studied and analyzed.According to whether the liver function was abnormal,patients were divided into two groups,including research group and control group.A total of 2 of 28 cases of liver damage presented acute liver failure with DIC.The univariate analysis indicated that the severe heat stroke combined with liver damage was closely related with body temperature,creatine kinase,blood urea nitrogen,blood sodium and course of disease （P ＜ 0.05）,not with age,creatinine,blood potassium,and white blood cell count.Thereinto the most sensitive risk factor was body temperature,followed by the blood sodium and creatine kinase levels.The average hospitalization time of heatstroke combined with liver damage was （15.6-±5.6） days,and cured or improved in 25 cases,3 cases of death,the efficiency of 89.3％.

关 键 词：中暑 肝损害 临床特点 

分 类 号：R594.12[医药卫生—内科学]