|
|
|
|
|
Summary and literature analysis of 31 cases of heat stroke |
Ma Jian-gang, Feng Lu, Ma Qing-bian, He Xin-hua |
Department of Emergency, the First People′s Hospital of Wu′an City in Hebei Province, Wu′an 056300, China |
|
|
Abstract Objective analyze of the diagnosis and treatment of patients with heat stroke, to find effective prevention and treatment measures. Methods From July 2018 to August 2018, a retrospective analysis was conducted on 31 cases of patients with heat stroke treated in the emergency department of Beijing Chao-yang Hospital Affiliated to Capital Medical University and the emergency department of Peking University Third Hospital. Name, gender, age, previous medical history, location of onset and time of admission to the hospital were collected for all the selected cases during the selected period. Day 1 vital signs, blood routine, blood gas, biochemistry, liver function, kidney function, coagulation, urine volume were detected. According to the data of patients in 24 hours, GCS, APACHE Ⅱ, SOFA score were finished. Survival and death cases were recorded at 28 d. Results There were 31 patients with heat stroke, 26 males (83.9%) and 5 females (16.1%). Average age was (62.03±11.40 ) years old, ranged from 42 to 90 years old. There were 10 retired workers (32.3%) and 21 peasant-workers (67.7%). Among them, there were 20 patients (6 dead, case fatality rate 6/20), 11 patients (4 dead, case fatality rate 4/11), 10 dead, case fatality rate 32.26%. Conclusion Vigilance is needed, and prevention is better than cure.
|
|
Corresponding Authors:
Ma Qing-bian, E-mail: maqingbian@medmail.com.cn
He Xin-hua, E-mail: xhhe2000@yeah.net
|
|
|
|
[1]中国气象数据网.http://data.cma.cn/data/online.[2]葛均波,徐永健,王辰, 等.内科学[M]. 第9版. 北京:人民卫生出版社, 2018: 917-920.[3]宋清,刘树元.劳力性热射病致死性误区分析[J]. 东南国防医药, 2018, 20 (5): 449-453.[4]Katch RK, Scarneo SE, Adams WM, et al. Top 10 research questions related to preventing sudden death in sport and physical activity[J]. Res Q Exerc Sport, 2017, 88(3): 251-268.[5]Bouchama A, Dehbi M, Mohamed G, et al. Prognostic factors in heat wave related deaths: a meta-analysis[J]. Arch Intern Med, 2007, 167(20): 2170-2176.[6]苏磊, 郭振辉, 钱洪津. 重症中暑住院患者流行病学调查与分析[J]. 解放军医学杂志, 2006, 31(9): 909-910.[7]Misset B, De Jonghe B, Bastuji-Garin S, et al. Mortality of patients with heatstroke admitted to intensive care units during the 2003 heat wave in France: A national multiple-center risk-factor study[J]. Crit Care Med, 2006, 34(4): 1087-1092.[8]杨雪飞,陶雪江,王耀丽, 等.老年热射病的早期识别和临床资料分析[J]. 老年医学保健, 2018, 24(3): 289-291.[9]Argaud L, Ferry T, Le QH, et al. Short- and long-term outcomes of heatstroke following the 2003 heat wave in Lyon, France[J]. Arch Intern Med, 2007, 167(20): 2177-2183.[10]Kashiyama T. First aid of heat-related illness[J]. Nihon Rinsho, 2012, 70(6): 957-960.[11]Casa DJ, Armstrong LE, Kenny GP, et al. Exertional heat stroke: new concepts regarding cause and care [J]. Curr Sports Med Rep, 2012, 11(3): 115-123.[12]Semenza JC, Rubin CH, Falter KH, et al. Heat-related deaths during the July 1995 heat wave in Chicago[J]. N Engl J Med, 1996, 335(2): 84-90. |
|
|
|