| 越野训练致热射病并发多器官功能不全救治分析 |
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| 引用本文： | 宋青,王秀英,周飞虎,潘亮,谢菲,何蕾.越野训练致热射病并发多器官功能不全救治分析[J].解放军医学杂志,2007,32(3):265-267. |
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| 作者姓名： | 宋青 王秀英 周飞虎 潘亮 谢菲 何蕾 |
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| 作者单位： | 100853,北京,解放军总医院重症监护科 |
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| 摘 要： | 目的 探讨越野训练致劳累性热射病并发多器官功能不全的有效临床救治方法.方法 收集5例越野训练致热射病病人的临床资料,总结临床表现、病程中实验室监测指标变化与临床干预治疗的关系,以及对预后的影响.结果 1例病人由于入院较晚,发生严重的DIC和多脏器功能衰竭而死亡;其余4例病人肌酸激酶、肌红蛋白多在住院4～5天后逐渐下降,住院15～60天均痊愈出院,无后遗症.结论 治疗该病要做到五早:早降温、早扩容、早抗凝、早血液净化、早镇静.
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| 关 键 词： | 日射病 多器官功能衰竭 越野训练 越野训练 热射病 多器官功能不全 救治分析 training MODS associated heat stroke patients 血液净化 抗凝 扩容 降温 干预治疗 后遗症 天均 住院 肌红蛋白 肌酸激酶 死亡 |
| 收稿时间： | 2006-08-18 |
| 修稿时间： | 2007-01-20 |
Treatment on the patients of heat stroke associated with MODS resuled from cross-country training |
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| Song Qing, Wang Xiuying,Zhou Feihu,et al..Treatment on the patients of heat stroke associated with MODS resuled from cross-country training[J].Medical Journal of Chinese People's Liberation Army,2007,32(3):265-267. |
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| Authors: | Song Qing Wang Xiuying Zhou Feihu |
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| Institution: | Department of Surgical Intensive Care Unit, General Hospital of PLA, Beijing 100853, China |
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| Abstract: | Objective To analyze the possible effective intervention for heat stroke(HS)associated with multiple organ dysfunction syndrome(MODS)as a result of cross-country training.Methods All the data of causes of HS,clinical manifestations,laboratory findings,clinical interventions and outcome were collected and analyzed in five cases of HS associated with MODS.Results Four patients survived and one died of severe DIC and MODS.The levels of creatin kinase and myoglobulin in survived patients lowered gradually 4-5 days after effective treatments.No sequela was found in survived patients.Conclusions The therapeutic principle for the patients of HS associated with MODS is early commencement of hypothermia,fluid expansion,anticoagulation,blood purification and deep-sedation. |
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| Keywords: | sun stroke multiple organ failure cross-country training |
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