发育医学电子杂志 2022, Vol. 10 Issue (6): 477-480 DOI: 10.3969/j.issn.2095-5340.2022.06.013
围产医学
综述
|新生儿
|
婴幼儿热射病的防控策略
石素宁 宗晶 刘莉 陈慧敏 戴晓婧
(1. 解放军第九六〇医院 护理部, 山东 济南 250031;2. 济南艾玛医院 护理部,山东 济南 250000;3. 解放军 中部战区总医院 护理部,湖北 武汉 430070)
Prevention and control strategy of heat stroke in infants
Shi Suning, Zong Jing, Liu Li, et al
摘要 热射病(heat stroke,HS)是一类重症中暑,特 征主要表现为核心温度升高 >40 ℃、中枢神经系统 病变,其中神经系统异常症状包括精神状态改变、 抽搐或昏迷等,同时伴有严重的多器官功能受损(主 要包括肝、肾、肺功能及骨骼肌损伤),是热力作用于 机体引起的致死性疾病[1-3] 。据统计,全球范围内, 在夏季热浪袭击期间(33~41 ℃,持续时间≥ 7 d),每 10 万人中有 20 人左右发生 HS,其住院病死率高达 14%,重症监护室患者病死率更高[4] 。HS 发病后临 床进展快、病死率高。目前其发病机制主要围绕热 应激下机体失代偿的病理变化以及 HS 引起全身炎 症、多器官功能衰竭的相关机制进行研究[5] 。HS 病 理进程进展快,治疗难度大,所以积极预防 HS 仍为 降低发病率的重要手段。
关键词:
热环境
婴幼儿
热射病
预防
收稿日期: 2022-07-04
发布日期: 2022-11-30
基金资助: 军队医学科技青年培育计划护理项目(19QNP087)
通讯作者:
戴晓婧
E-mail: zbzqzyyhlb@163.com
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