2018年上海国际马拉松赛事中意外低体温救治体会  

First-Aid Treatment and Pre-Hospital Care for Patients with Accidental Hypothermia in the 2018 Shanghai International Marathon

作　　者：赵想 任慧娟 陈怡辉[2] 顾斌 韩丹 陆慧红[2] 陈鹤扬 孙贵新[1,4] Zhao Xiang;Ren Huijuan;Chen Yihui;Gu Bin;Han Dan;Lu Huihong;Chen Heyang;Sun Guixin(China International Emergency Medical Team(Shanghai),Shanghai 200120,China;Department of Anesthesiology,Shanghai East Hospital,Shanghai 200120,China;Department of Emergency Internal Medicine,Shanghai East Hospital,Shanghai 200120,China;Department of Emergency Trauma,Shanghai East Hospital,Shanghai 200120,China)

机构地区：[1]中国国际应急医疗队(上海),上海200120 [2]同济大学附属东方医院麻醉科,上海200120 [3]同济大学附属东方医院急诊内科,上海200120 [4]同济大学附属东方医院创伤外科,上海200120

出　　处：《中国运动医学杂志》2021年第9期709-712,共4页Chinese Journal of Sports Medicine

基　　金：浦东新区卫健委领先人才计划项目(PWR12020-06)。

摘　　要：2018年上海国际马拉松共有92330名选手参加比赛,终点医疗保障组共收治552名意外低体温者。我们使用瑞士低温临床分期(HTⅠ至HTⅣ期)进行评估,465名HTⅠ期(温度35℃~32℃)意外低体温者出现四肢厥冷、无寒颤,78名HTⅠ期患者出现寒颤,9名HTⅡ期(温度32℃~28℃)患者出现意识障碍;未出现HTⅢ级和HTⅣ意外低体温患者。HTⅠ期意外低体温者被及时去除湿冷衣物,用运动毛巾擦拭,并用铝箔纸包裹全身,适量补充温热饮料进行复温;HTⅡ期患者被转运至医疗帐篷,保温毯包裹,进行生命体征监测,静脉输注温热生理盐水。552名意外低体温参赛者均恢复良好,自行离开医疗站点。本文结合此次马拉松意外低体温的院前救治进行分析探讨,旨在提高马拉松比赛中救治意外低体温患者水平,为体育赛事医疗保障提供参考。In the 2018 Shanghai International Marathon,the finish-line medical station received552 runners with accidental hypothermia among 92330 participants.According to the Swiss staging system of hypothermia(stages HTⅠto HTⅣ),465 were of the stage HTⅠ(Temperature 35℃~32℃)with cold limbs but no tremble,78 also of the same stage and trembled with cold,while the rest 9 of the stage HTⅡ(Temperature 32℃~28℃)with impaired consciousness.Runners with the stage HTⅠhypothermia were removed wet clothes,wrapped with aluminium-foil paper then blanket and provided with warm warm fluids,while the rest 9 were transferred to the medical tent and wrapped with warm blanket,followed by vital signs monitoring and intravenous infusion of warm normal saline.In the end,all the patients recovered and left by themselves.This article will analyze and discuss the pre-hospital treatment of accidental hypothermia,aiming to improve medical service for runners suffering from accidental hypothermia in marathon and provide references for such treatment in sports events.

关 键 词：马拉松 医疗急救 意外低体温 

分 类 号：R594.2[医药卫生—内科学]