| 3,460 | 20 | 286 |
| 下载次数 | 被引频次 | 阅读次数 |
<正>严重热相关疾病的国际分类包括热痉挛、热衰竭和热射病，已被全球用于评估热相关疾病的严重程度[1]。热射病常用定义为核心温度>40℃、中枢神经系统异常的重度中暑，是一种热应激作用于机体引起的致死性疾病。本文对热射病的诊断、发病机制、相关脏器损伤以及治疗预后等临床研究进展作一综述。1 热射病诊断目前，参考《中国中暑诊断和治疗专家共识》中新推荐的诊断(疑似)标准，确定标准如下：(1)病史信息。
Abstract：[1] Meehl GA,Tebaldi C.Moreintense,morefrequent,and longer lasting heat waves in the 21st century[J].Science,2004,305(5686):994-997.
[2] Liu S,Xing L,Wang Q,et al.Association between early stage-related factors and mortality in patients with exertional heat stroke:a retrospective study of 214 cases[J].Int J Gen Med,2021,14:4629-4638.
[3] Mozzini C,Xotta G,Garbin U,et al.Non-exertional heatstroke:a case report and review of the literature[J].Am J Case Rep,2017,18:1058-1065.
[4] 李振，王科，王凯强，等.靶向自噬缓解肝缺血再灌注损伤的研究进展[J].临床肝胆病杂志，2022,38(1):210-214.
[5] Kew MC,Minick OT,Bahu RM,et al.Ultra structural changes in the liver in heatstroke[J].Am J Pathol,1978,90(3):609-618.
[6] Mozzini C,Xotta G,Garbin U,et al.Non-exertional heatstroke:a case report and review of the literature[J].Am J Case Rep,2017,18:1058-1065.
[7] Leon LR,Bouchama A.Heat stroke[J].Compr Physiol,2015,5(2):611-647.
[8] Li Z,Mc Kenna ZJ,Kuennen MR,et al.The potential role of exercise-induced muscle damage in exertional heat stroke[J].Sports Med,2021,51(5):863-872.
[9] Tong H,Chen R,Yin H,et al.Mesenteric lymph duct ligation alleviating lung injury in heatstroke[J].Shock,2016,46(6):696-703.
[10] Thongprayoon C,Petnak T,Kanduri SR,et al.Impact of rhabdomyolysis on outcomes of hospitalizations for heat stroke in the United States[J].Hosp Pract(1995),2020,48(5):276-281.
[11] Wu M,Wang C,Liu Z,et al.Clinical characteristics and risk factors associated with acute kidney injury inpatient with exertional heatstroke:an over 10-year intensive care survey[J].Front Med(Lausanne),2021,8:678434.
[12] Shen HH,Tseng YS,Kuo NC,et al.Alpha-lipoic acid protects cardiomyocytes against heat stroke-induced apoptosis and inflammatory responses associated with the induction of Hsp70 and activation of autophagy[J].Mediators Inflamm,2019,2019:8187529.
[13] Ward MD,King MA,Gabrial C,et al.Biochemical recovery from exertional heat stroke follows a 16-day time course[J].PLoS One,2020,15(3):e0229616.
[14] 全军热射病防治专家组.热射病急诊诊断与治疗专家共识[J].中华急诊医学杂志，2021,11(30):1290-1299.
基本信息:
DOI：10.16048/j.issn.2095-5561.2022.02.01
中图分类号:R594.1
引用信息:
[1]王玲,金红旭,郭俊峰,等.热射病临床研究进展[J].创伤与急危重病医学,2022,10(02):81-82.DOI:10.16048/j.issn.2095-5561.2022.02.01.
基金信息:
重症多发伤重要脏器功能保护研究(CSY12J002)
2022-03-15
2022-03-15