劳力型热射病院前认识和处置十大误区分析OA北大核心CSTPCD
A critical analysis of the ten most prevalent misconceptions in the prehospital recognition and management of exertional heat stroke
劳力型热射病(EHS)是威胁生命的最严重的急性热致疾病.热致疾病可持续进展为EHS,院前处置是EHS救治的重要关口,院前是否能做到EHS患者的快速识别、有效降温及规范转运,一定程度上决定了患者的预后.根据广泛调研发现,在EHS院前认识和处置过程中,医疗保障人员仍存在亟须纠正的致命误区,这些误区集中在认识缺失和处置失当.本文借鉴国内外研究成果并结合现实情况,归纳出"EHS院前认识及处置十大误区",并参照《中国热射病诊断与治疗专家共识》给出正确的院前处置方案,以期减少或避免这些误区对EHS患者造成的不可逆损害,降低EHS的发生率、致残率及致死率.
Exertional heat stroke(EHS)is the most serious and life-threatening acute heat-related illness.It can develop from heat-related illnesses,and the prehospital management is a crucial in the diagnosis and treatment of EHS.The prognosis of EHS patients is largely determined by the rapid recognition,effective cooling,and standardized transportation during the prehospital period.Extensive research has demonstrated that medical security personnel still have fatal misconceptions in the prehospital recognition and management of EHS,mainly due to the lack of recognition and inappropriate treatment.This review summarizes the top 10 misconceptions in prehospital recognition and management of EHS,based on domestic and international research findings and combined with practical scenarios.It also provides an accurate prehospital management plan according to the China Expert Consensus on Diagnosis and Treatment of Heatstroke,aiming to reduce or avoid irreversible damage to EHS patients caused by these misunderstandings and to decrease the incidence,disability rate,and mortality rate of EHS.
项楚涵;宋青
解放军第七十一集团军医院心血管内科,江苏徐州 221004||徐州医科大学附属淮海医院心血管内科,江苏徐州 221004||全军热射病防治与研究中心,海南三亚 572013全军热射病防治与研究中心,海南三亚 572013||解放军总医院海南医院重症医学科,海南三亚 572013
临床医学
劳力型热射病院前认识院前处置误区
exertional heat strokeprehospital recognitionprehospital managementmisunderstandings
《解放军医学杂志》 2024 (006)
611-616 / 6
This work was supported by the Science and Technology Youth Project of Xuzhou Health Commission(XWKYHT20220161),and the Xuzhou Science and Technology Project Medicine and Health Project(KC23285) 徐州市卫生健康委科技青年项目(XWKYHT20220161);徐州市科技项目医药卫生面上项目(KC23285)
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