军事训练防治中暑/热射病降温方法专家共识  

Expert consensus on cooling methods for preventing heat illness/stroke in military training

作　　者：全军热射病防治专家组 宋青[2] 宁波 汪茜[4] 赖斌 刘树元 李鑫[4] Expert Group of Heat Stroke Prevention and Treatment of the Chinese PLA;Ning Bo;Song Qing

机构地区：[1]不详 [2]解放军总医院海南医院重症医学科 [3]空军特色医学中心重症医学科 [4]解放军总医院第三医学中心急诊医学科 [5]解放军总医院第六医学中心急诊医学科

出　　处：《解放军医学杂志》2023年第8期871-878,共8页Medical Journal of Chinese People's Liberation Army

基　　金：军队卫生防疫防护专项任务(22FYFH11);军事医学创新工程(18CXZ019,18CXZ024)。

摘　　要：在军事训练中,当生理热应激负载过度不能被及时纠正时,可发生中暑,严重者可发生劳力型热射病,这将严重影响部队战斗力。快速、有效、持续地降温是缓解过度热应激反应,防治中暑及热射病的关键措施。全军热射病防治专家组基于近十几年来的临床实践经验以及在中暑防治领域的研究成果,结合国内外最新证据,对军事训练全过程中的体温监测、预防性降温策略、治疗性降温策略等进行总结,并广泛征求了军内急诊及危重症专家意见,形成本共识,以期为军事训练中实施切实有效的温度管理提供指导。In military training,when the physiological heat stress load is excessive and cannot be corrected in time,heat illness may occur,and in severe cases,exertional heat stroke may occur,which will seriously affect the combat effectiveness.Rapid,effective and uninterrupted cooling is the key measure to relieve excessive heat stress reaction and prevent heat illness/stroke.Based on nearly 10 years of clinical practice experience,the scientific research achievements in heatstroke prevention areas,as well as domestic and foreign latest evidence,Expert Group of Heat Stroke Prevention and Treatment of the Chinese PLA summarized the temperature monitoring,preventive and therapeutic cooling strategies in the whole process of military training,and widely consulted the opinions of emergency and critical care experts in the military,and finally formed the consensus,thus being intended to provide guidance for the implementation of effective temperature management in military training.

关 键 词：军事训练 中暑 热射病 降温 共识 

分 类 号：R594.1[医药卫生—内科学]