1995年南京市重症中暑49例分析

探讨南京市1995年热浪袭击中49例重症中暑的发病规律及治疗进展。南京地区从1995年7月中旬开始，35℃以上高温天气累计22天，共发生中暑1016例，重症中暑发生率4．8％（49／1016）。其中男26例，女23例；年龄20～94岁，老年组21例，非老年组28例。合并慢性疾病中前四位为高血压病6例（12．2％）、冠心病5例（10．2％）、慢性支气管炎4例（8．2％）、脑血管意外后遗症2例（4．1％）。以疲劳为主要诱因者中有6名合资企业职工。死亡3例，病死率6．1％。接受氯丙嗪治疗者8例（16．3％），纳洛酮治疗者16例（32．7％）。提高人群热耐受性可明显减少中暑发生，纳洛酮可望作为重症中暑抢救治疗的有效药物之一。

ANALYSIS OF 49 CASES OF SEVERE HEAT STROKE IN NANJING IN 1995

In order to study the role of a disease and the development of treatment in severe heat stroke, wereport the results of a survey of 49 cases of severe heat stroke in Nanjing during the days of megathermal period in1995. These consisted of 26 males and 23 females,aged 20-94 years. There were 21 cases over 60 years old. Chron-ic diseases complicated among these 49 cases was mainly as follows: hypertension (12. 2 % ), coronary beart disease(10. 2% ), chronic bronchitis (8. 2% ), and sequels of cerebral vascular accidents (4. 1 % ). Three cases died andthe mortality rate was 6. 1%. Eight cases (16. 3%) had received Chlorpromazine cooling therapy and 16 cases(32. 7% ) received Naloxone to elevate blood pressure and cooling therapy. Based on our experince, Naloxone mightbe an effective agent for severe heat stroke.