劳力型热射病致急性肺水肿1例  

A case of acute pulmonary edema caused by exertional heat stroke

作　　者：宋玲莉 王海霞[1] 方薇 Song Lingli;Wang Haixia;Fang Wei(Department of Emergency,Weihai Municipal Hospital,Cheeloo College of Medicine,Shandong University,Weihai 264200,China;Department of Pharmacy,Weihai Municipal Hospital,Cheeloo College of Medicine,Shandong University,Weihai 264200,China)

机构地区：[1]山东大学附属威海市立医院急诊科,威海264200 [2]山东大学附属威海市立医院药剂科,威海264200

出　　处：《中华劳动卫生职业病杂志》2024年第10期769-771,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：山东省医药卫生科技发展计划项目(202103050916)。

摘　　要：本文报告1例因高强度军训体力活动引起的机体产热和散热失衡而发病的劳力型热射病致急性肺水肿患者,病变急起、肺水肿进展迅速且弥漫分布,经过及早的识别、积极的有创机械通气及激素等药物治疗后,肺水肿肺部影像学病变快速吸收,同时呼吸困难得以改善。本文探讨劳力型热射病导致急性肺水肿的发病、影像学特点和治疗经过,为临床诊断和治疗提供参考。This paper reports a case of acute pulmonary edema caused by exertional heat stroke due to imbalance of body heat production and heat dissipation caused by high intensity military training physical activities.The patient's lesions developed rapidly and pulmonary edema progressed rapidly and diffusingly.After early identification,active invasive mechanical ventilation and hormone therapy,the pulmonary imaging lesions of pulmonary edema were rapidly absorbed,and the dyspnea was improved.This article discusses the incidence,imaging features and treatment of acute pulmonary edema caused by exertional heat stroke,and provides reference for clinical diagnosis and treatment.

关 键 词：中暑 热射病 肺水肿 激素治疗 

分 类 号：R135.3[医药卫生—劳动卫生]