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作 者:王涛[1] 赵悦 王猛 朱海燕[3] 李晨[1] 陈玉剑 邢沁蕊 宋青[1,5] 全军热射病防治专家组 海南省医师协会急诊医师分会 海南省医学会急诊医学分会 中国老年保健协会急诊医学专业委员会 Wang Tao;Zhao Yue;Wang Meng;Zhu Hai-Yan;Li Chen;Chen Yu-Jian;Xing Qin-Rui;Song Qing;the Expert Group on Heatstroke Prevention of Peoples'Liberation Army;the College of Emergency Physicians of the Hainan Provincial Medical Doctor Association;the Society of Emergency Medicine of the Hainan Provincial Medical Association;the Emergency Medicine Committee of the Chinese Aging Well Association(Department of Emergency Medicine,Hainan Hospital of Chinese PLA General Hospital,Sanya,Hainan 572014,China;Graduate School of Chinese PLA Medical College,Beijing 100853,China;Department of Emergency Medicine,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China;Central Lab,Hainan Hospital of Chinese PLA General Hospital,Sanya,Hainan 572014,China;Center of Heatstroke Prevention and Treatment of Chinese PLA,Sanya,Hainan 572000,China;不详)
机构地区:[1]解放军总医院海南医院急诊医学科,海南三亚572014 [2]解放军医学院研究生院,北京100853 [3]解放军总医院第一医学中心急诊医学科,北京100853 [4]解放军总医院海南医院中心实验室,海南三亚572014 [5]军队热射病救治与研究中心,海南三亚572000 [6]不详
出 处:《解放军医学杂志》2025年第3期245-253,共9页Medical Journal of Chinese People's Liberation Army
基 金:海南省重大科技计划项目(ZDKJ202004);海南省临床医学中心建设项目(琼卫医[2022]33号)。
摘 要:高温高湿环境下发生的热射病是威胁生命的急性热损伤性疾病,严重影响人类健康。及时有效的现场救治对患者生存和预后至关重要,早期识别、快速评估和现场降温是热射病院前救治的核心。目前,热射病的院前急救尚缺乏规范的应用流程。为此,由全军热射病防治专家组发起,联合地方院前急救、急诊、重症等领域的专家,聚焦于热射病的预防、现场及救护车上的处置、急诊室早期救治等方面,共同编写了《热射病院前急救专家共识(2024版)》,形成了10条推荐意见,旨在为科学规范地进行热射病的院前急救提供参考。Heatstroke,especially in high-temperature and high-humidity environments,is a life-threatening acute heat-injury disease that seriously endangers human health.Timely and effective on-site treatment is crucial for patients'survival and prognosis.Early recognition,rapid assessment,and on-site cooling are the core of pre-hospital treatment of heatstroke.Currently,there is a lack of standardized application procedures for pre-hospital emergency care of heatstroke.Therefore,the"Expert Consensus on Pre-hospital Emergency Management of Heatstroke(2024 edition)"was initiated by the Expert Group on Heatstroke Prevention of the People's Liberation Army and developed in collaboration with experts from local pre-hospital emergency care,emergency departments,and intensive care units.This consensus focuses on heatstroke prevention,on-site and ambulance-based treatment,and early emergency room interventions,and puts forward 10 evidence-based recommendations,aiming to provide a reference for scientific and standardized pre-hospital emergency care of heatstroke.
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