热射病的多器官受损表现及防治措施  

Multiple organ injury features and prevention and treatment of heat stroke

作　　者：李子瞻 罗雪[2] Li Zizhan;Luo Xue(Third Cadet Brigade,College of Basic Medical Sciences,2 Department of Tropical Medicine,Faculty of Military Preventive Medicine,Army Medical University,Third Military Medical University,Chongqing 400038,China)

机构地区：[1]陆军军医大学·第三军医大学基础医学院学员三大队,重庆400038 [2]陆军军医大学·第三军医大学军事预防医学系热带医学教研室,重庆400038

出　　处：《中华老年多器官疾病杂志》2023年第8期624-628,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：陆军军医大学科技创新能力提升专项(2021XJS04)。

摘　　要：热射病是由于暴露于热环境和(或)剧烈运动所致的机体产热与散热失衡,以核心温度升高>40℃和中枢神经系统异常(包括谵妄、抽搐、昏迷)为特征,并伴有多器官损害的危及生命的临床综合征。根据发病原因和易感人群的不同,热射病分为经典型热射病和劳力型热射病。热射病可导致多个器官系统功能和形态发生改变,出现多器官功能障碍综合征,这是导致患者死亡的主要原因。热射病的治疗以对症治疗为主,了解热射病所致的多器官损害特点及变化规律,对该病的临床救治和降低病死率具有重要意义。Heat stroke is a clinical syndrome with an imbalance of heat production and heat dissipation due to exposure to a thermal environment and/or intense exercise,characterized by increasing core body temperature>40℃and central nervous system abnormalities(such as delirium,convulsion,coma),accompanied by a life-threatening clinical syndrome of multiple organ damage.According to the different causes and susceptible populations,heat stroke is categorized into classic heat stoke and exertional heat stroke.Heat stroke can cause changes in function and morphology of multiple organs,resulting in multiple organ dysfunction syndrome,which is the leading cause of patient′s death.Currently,no treatment is proven effective other than symptomatic treatment.Understanding the multiple organ injury features caused by heat stroke has a profound significance for its clinical treatment and mortality decrease.

关 键 词：热射病 多器官功能障碍综合征 预防 治疗 

分 类 号：R594.1[医药卫生—内科学] R821[医药卫生—临床医学]